Provider Demographics
NPI:1831493055
Name:LEICHTMAN, ROBIN (PHD, LPCC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:LEICHTMAN
Suffix:
Gender:F
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 MAYFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2611
Mailing Address - Country:US
Mailing Address - Phone:216-714-2682
Mailing Address - Fax:
Practice Address - Street 1:5010 MAYFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2611
Practice Address - Country:US
Practice Address - Phone:216-714-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800634101YM0800X
OHE.1800634-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health