Individual
SUSAN A LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8590
(330) 543-3856
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8590
(330) 543-3856
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361255
—
OH
Enumeration date
10/10/2006
Last updated
07/08/2007
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