Individual
MS. KATHLEEN LEEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
(800) 693-1916
Mailing address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
(800) 693-1916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008087
MI
103TC1900X
Counseling Psychologist
6362009474
MI
Other
Enumeration date
01/30/2022
Last updated
11/12/2025
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