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Individual

DR. ELISHA EVELEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0267
Mailing address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-0267

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.009809
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.07977
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0384541
OH
Enumeration date
06/16/2019
Last updated
10/14/2022
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