MEDICARE: LEAH SCHUMAN TAYLOR PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC #603	OK
2	106H00000X	Marriage & Family Therapist	005	OK

General Provider Information

NPI Number	:	1619034469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH SCHUMAN TAYLOR PH.D.

Provider Business Mailing Address
First Line	:	2756 NW 20TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-3234
Country	:	US
Telephone Number	:	405-948-8522
Fax Number	:

Provider Business Practice Location Address
First Line	:	3037 NW 63RD ST
Second Line	:	SUITE 100W
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3637
Country	:	US
Telephone Number	:	405-830-8306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	09/11/2025

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