Jody M. Leach is a Clinical in Pasadena, California. Jody M. Leach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody M. Leach is 1881850196. The last update date is 2016-04-19.
Jody M. Leach's current location address is 30 N Roosevelt Ave, Pasadena, California. You can contact this provider via phone number 6267967511. The mailing address for Jody M. Leach is 30 N Roosevelt Ave, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody M. Leach |
|---|---|
| Address | 30 N Roosevelt Ave, Pasadena, California |
| Phone Number | 6267967511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1881850196 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2016-04-19 |
Provider Mailing Address Detail
| Address | 30 N Roosevelt Ave |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911073621 |
| Phone Number | 6267967511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 25826 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Jody M. Leach by the Centers for Medicare & Medicaid Services (CMS)?
The Jody M. Leach has been assigned the NPI (National Provider Identifier) 1881850196. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jody M. Leach?
The Jody M. Leach is physically situated at 30 N Roosevelt Ave, in the city of Pasadena, state of CA, with the postal code 911073621.
What is Jody M. Leach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jody M. Leach's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881850196 to Jody M. Leach?
The Centers for Medicare & Medicaid Services originally issued the 1881850196 to Jody M. Leach on 2008-08-06.
When was the information pertaining to Jody M. Leach most recently updated or revised?
The details related to Jody M. Leach, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-19.
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