Provider Demographics
NPI:1750982062
Name:DUTCH, LEAH DENISE NICOLE
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:DENISE NICOLE
Last Name:DUTCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 CARPENTER ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2965
Mailing Address - Country:US
Mailing Address - Phone:330-689-9961
Mailing Address - Fax:
Practice Address - Street 1:547 CARPENTER ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2965
Practice Address - Country:US
Practice Address - Phone:330-689-9961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health