Provider Demographics
NPI:1891086427
Name:FORD, LEIGH ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANN
Last Name:FORD
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:PO BOX 3791
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-3791
Mailing Address - Country:US
Mailing Address - Phone:859-338-8024
Mailing Address - Fax:606-437-0187
Practice Address - Street 1:126 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1605
Practice Address - Country:US
Practice Address - Phone:859-338-8024
Practice Address - Fax:606-437-0187
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-30
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1479103T00000X
KY129660103T00000X
LA329821103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No103T00000XBehavioral Health & Social Service ProvidersPsychologist