Healthcare Provider Details

I. General information

NPI: 1083544167
Provider Name (Legal Business Name): LEAH WILLIAMSON ED.S
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 E 36TH ST
CLEVELAND OH
44114-4116
US

IV. Provider business mailing address

1417 E 36TH ST
CLEVELAND OH
44114-4116
US

V. Phone/Fax

Practice location:
  • Phone: 216-456-2080
  • Fax:
Mailing address:
  • Phone: 216-456-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00277
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: