Provider Demographics
NPI:1659351898
Name:OLSHEIN, LEAH ELAINE (PSYD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:ELAINE
Last Name:OLSHEIN
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 PETERS RD
Mailing Address - Street 2:# 1000
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3265
Mailing Address - Country:US
Mailing Address - Phone:305-926-5044
Mailing Address - Fax:954-315-0240
Practice Address - Street 1:8201 PETERS RD
Practice Address - Street 2:# 1000
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3265
Practice Address - Country:US
Practice Address - Phone:305-926-5044
Practice Address - Fax:954-315-0240
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 1755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL200354721OtherEIN