Leib, Susan A
Leib, Susan A is an individual health care provider with primary practice located at 1 Perkins Sq , Akron OH 44308-1063. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Leib, Susan A can be contacted via phone (330) 543-8590.Contact Information
Primary practice address
1 Perkins Sq
Akron OH 44308-1063
Phone: (330) 543-8590
Fax: (330) 543-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1919 | Ohio |
Profile Details
| NPI number | 1700973799 |
|---|---|
| LBN Legal business name | Leib, Susan A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700973799 | NPPES |
| Ohio | MEDICAID | 0361255 |
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