Doctor Name: | JOHN D LEIWS |
NPI Number: | 1003048257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.P.C |
License Number: | C0602194 |
Business Practice Address: | 8577 E Market St Warren, OH - 444842345 |
Business Phone Number: | 3308566663 |
Business Fax Number: | |
Mailing Address: | 8577 E Market St, WARREN |
State: | OH |
Postal Code: | 444842345 |
Phone Number: | 3308566663 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2009 |
NPI Last Update Date: | 08/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C0602194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |