Provider Demographics
NPI:1194516013
Name:MOLONY, LEIGHANN ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:LEIGHANN
Middle Name:ELIZABETH
Last Name:MOLONY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEIGHANN
Other - Middle Name:ELIZABETH
Other - Last Name:SLAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:642 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2288
Mailing Address - Country:US
Mailing Address - Phone:859-835-0114
Mailing Address - Fax:
Practice Address - Street 1:4603 TIMBERWALK CT
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-6746
Practice Address - Country:US
Practice Address - Phone:703-575-8129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist