Individual
DR. MICHAEL B LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3659 GREEN RD STE 320, BEACHWOOD, OH 44122-5715
(216) 390-9695
Mailing address
9792 FIRELANDS DR, TWINSBURG, OH 44087-3228
(216) 570-7680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2671
OH
103TF0200X
Forensic Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355057
—
OH
Enumeration date
10/25/2006
Last updated
05/08/2024
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