Individual
MELISSA ANNE LEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1169 EASTERN PKWY, MEDICAL ARTS BLDG SUITE 1147, LOUISVILLE, KY 40217-1417
(502) 451-9222
(502) 451-4499
Mailing address
1419 WILLOW AVE, LOUISVILLE, KY 40204-1410
(502) 458-3706
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
691
KY
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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