Individual
JENNIFER LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7 W 30TH ST, FLOOR 11 ROOM 11, NEW YORK, NY 10001-4406
(917) 475-9614
Mailing address
7 W 30TH ST, FLOOR 11 ROOM 11, NEW YORK, NY 10001-4406
(917) 475-9614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016548-68
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016548
CLINCAL PSYCHOLOGY LICENSE
NY
Enumeration date
04/18/2007
Last updated
02/25/2025
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