Provider Demographics
NPI:1972587608
Name:KLYOP, LEIGH S,
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:S,
Last Name:KLYOP
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LEIGH
Other - Middle Name:S
Other - Last Name:FINKEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:10979 REED HARTMAN HWY
Mailing Address - Street 2:SUITE 234
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2800
Mailing Address - Country:US
Mailing Address - Phone:513-891-8883
Mailing Address - Fax:513-891-8510
Practice Address - Street 1:10979 REED HARTMAN HWY
Practice Address - Street 2:SUITE 234
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-2800
Practice Address - Country:US
Practice Address - Phone:513-891-8883
Practice Address - Fax:513-891-8510
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3640103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0678959Medicaid
OHFICP04101Medicare ID - Type Unspecified