Healthcare Provider Details

I. General information

NPI: 1215559737
Provider Name (Legal Business Name): MARY MARGARET LEEMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FREEPORT RD
ASPINWALL PA
15215-2943
US

IV. Provider business mailing address

101 FREEPORT RD
ASPINWALL PA
15215-2943
US

V. Phone/Fax

Practice location:
  • Phone: 412-444-8636
  • Fax:
Mailing address:
  • Phone: 412-444-8636
  • Fax: 844-688-8724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD484104
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: