Individual
EILEEN M. LEININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
794 S BROADWAY, GENEVA, OH 44041-1943
(440) 466-7055
(440) 466-3455
Mailing address
794 S BROADWAY, GENEVA, OH 44041-1943
(440) 466-7055
(440) 466-3455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282368
MAGELLAN
OH
05
—
0155120
—
OH
01
—
7312147
AETNA
OH
Enumeration date
11/01/2006
Last updated
01/14/2008
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