Leach, Carol Ann Love

Leach, Carol Ann Love is an individual health care provider with primary practice located at 5665 W Maple Rd Ste A , West Bloomfield MI 48322-3741. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Leach, Carol Ann Love can be contacted via phone (248) 830-6357.

Contact Information

Primary practice address
5665 W Maple Rd Ste A West Bloomfield MI 48322-3741
Phone: (248) 830-6357
Fax: (248) 626-8836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301008640 Michigan

Profile Details

NPI number 1114931615
LBN Legal business name Leach, Carol Ann Love
Credentials MA LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114931615 NPPES
District of Columbia Other 11712865 CAQH

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