| Doctor Name: | MRS. DIANA JO LEIGH |
| NPI Number: | 1003021437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | 0003886 |
| Business Practice Address: | 24100 Chagrin Blvd Suite 370 Beachwood, OH - 441225535 |
| Business Phone Number: | 2162926520 |
| Business Fax Number: | 2168312351 |
| Mailing Address: | 3707 Townley Rd, SHAKER HEIGHTS |
| State: | OH |
| Postal Code: | 441225121 |
| Phone Number: | 2162831946 |
| Fax Number: | 2162831946 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0003886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |