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NPI Code Detail

MEDICARE: LEIGH S, KLYOP

MEDICARE:   LEIGH S, KLYOP
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
1103TC0700XClinical Psychologist3640OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972587608
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH S, KLYOP
Provider Business Mailing Address
First Line : 10979 REED HARTMAN HWY
Second Line : SUITE 234
City : CINCINNATI
State : OH
Zip : 45242-2800
Country : US
Telephone Number : 513-891-8883
Fax Number : 513-891-8510
Provider Business Practice Location Address
First Line : 10979 REED HARTMAN HWY
Second Line : SUITE 234
City : CINCINNATI
State : OH
Zip : 45242-2800
Country : US
Telephone Number : 513-891-8883
Fax Number : 513-891-8510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 04/30/2014

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