| Dr Joseph Sherman Leake Jr, PSYD, LP | |
|
312 W High St, Lebanon, KY 40033-1428 | |
| (270) 692-9559 | |
| (270) 692-9236 |
| Full Name | Dr Joseph Sherman Leake Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 312 W High St, Lebanon, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356661532 | NPI | - | NPPES |
| 7100349680 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSYPST00219033 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Sherman Leake Jr, PSYD, LP 312 W High St, Lebanon, KY 40033-1428 Ph: (270) 692-9559 | Dr Joseph Sherman Leake Jr, PSYD, LP 312 W High St, Lebanon, KY 40033-1428 Ph: (270) 692-9559 |
Linda J Young, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 65 Old Springfield Rd, Lebanon, KY 40033 Phone: 270-692-2509 Fax: 270-692-2592 | |
Kathleen Powers, PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 65 Old Springfield Rd, Lebanon, KY 40033 Phone: 270-692-2509 Fax: 270-692-2592 |