| NPI | 1467285106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRUCE LEACH Clinical Psychologist/Owner 216-570-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |