Provider Demographics
NPI:1417222498
Name:LEASHER, ANN MARIE (LMSW, CADC, SPADA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:LEASHER
Suffix:
Gender:F
Credentials:LMSW, CADC, SPADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PARCHMENT DR. SE
Mailing Address - Street 2:PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-957-9112
Mailing Address - Fax:616-957-2409
Practice Address - Street 1:555 MID TOWNE NE SUITE 304
Practice Address - Street 2:PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-458-4444
Practice Address - Fax:616-458-4440
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6801078094104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker