MR. Jere W Leib, PH.D.
NPI #1457350506 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1457350506
- Entity Type
- Individual
- Name
- MR. Jere W Leib, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Jul 20, 2005
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 3421 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-4830
- Phone
- (260) 482-8427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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