Provider Demographics
NPI:1659526804
Name:SPEER, LESLIE ADRIENNE (PHD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ADRIENNE
Last Name:SPEER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5885 LANDERBROOK DR STE 310
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4031
Mailing Address - Country:US
Mailing Address - Phone:216-446-2944
Mailing Address - Fax:315-306-3610
Practice Address - Street 1:5885 LANDERBROOK DR STE 310
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4031
Practice Address - Country:US
Practice Address - Phone:216-446-2944
Practice Address - Fax:315-306-3610
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6680103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist