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NPI Code Detail

MEDICARE: LEEMAN BROWN

MEDICARE: LEEMAN BROWN
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)2026OH

General Provider Information

NPI Number : 1104760859
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEEMAN BROWN
Provider Business Mailing Address
First Line : 519 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3933
Country : US
Telephone Number : 740-220-2216
Fax Number :
Provider Business Practice Location Address
First Line : 519 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3933
Country : US
Telephone Number : 740-220-2216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ LEEMAN BROWN ” Practice Location

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