Provider Demographics
NPI:1265182729
Name:LEUNG, KAYEUNG (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAYEUNG
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6713 TRADITION TRL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7653
Mailing Address - Country:US
Mailing Address - Phone:847-902-1107
Mailing Address - Fax:
Practice Address - Street 1:6713 TRADITION TRL
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7653
Practice Address - Country:US
Practice Address - Phone:847-902-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.08014103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist