Doctor Name: | LEEANN O'LEARY |
NPI Number: | 1356472260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I 1000231 |
Business Practice Address: | 15 E New Haven St Bloomville, OH - 448189241 |
Business Phone Number: | 4199833408 |
Business Fax Number: | 4199833408 |
Mailing Address: | 15 E New Haven St, BLOOMVILLE |
State: | OH |
Postal Code: | 448189241 |
Phone Number: | 4199833408 |
Fax Number: | 4199833408 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I 1000231 |
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 |