Susan A Leib in Akron - Clinical Child & Adolescent

Susan A Leib - NPI 1700973799

Susan A Leib is a Clinical Child & Adolescent in Akron, Ohio. Susan A Leib practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Susan A Leib is 1700973799. The last update date is 2007-07-08.

Susan A Leib's current location address is 1 Perkins Sq, Akron, Ohio. You can contact this provider via phone number 3305438590 and fax number 3305433856. The mailing address for Susan A Leib is 1 Perkins Sq, Akron, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan A Leib
Address 1 Perkins Sq, Akron, Ohio
Phone Number 3305438590
Fax Number 3305433856
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1700973799
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Perkins Sq
City Akron
State Ohio (OH)
Post Code 443081063
Phone Number 3305438590
Fax Number 3305433856

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 1919
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
361255 OH --

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FAQs about Susan A Leib

Could you please provide the complete physical location address of Susan A Leib?

The Susan A Leib is physically situated at 1 Perkins Sq, in the city of Akron, state of OH, with the postal code 443081063.

What is the Susan A Leib's specialty and taxonomy code?

The Susan A Leib's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

When was the Susan A Leib's 1700973799 issued?

The Susan A Leib's 1700973799 was issued on 2006-10-10.

On what date did the Centers for Medicare & Medicaid Services issue the 1700973799 to Susan A Leib?

The Susan A Leib received its 1700973799 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information pertaining to Susan A Leib most recently updated or revised?

The details related to Susan A Leib, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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