Provider Demographics
NPI:1558442228
Name:FORSYTH, LEIGHANN HOCK (PHD)
Entity type:Individual
Prefix:DR
First Name:LEIGHANN
Middle Name:HOCK
Last Name:FORSYTH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 SOUTHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2417
Mailing Address - Country:US
Mailing Address - Phone:216-407-7257
Mailing Address - Fax:216-231-9933
Practice Address - Street 1:12429 CEDAR RD
Practice Address - Street 2:SUITE 9
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44106-3199
Practice Address - Country:US
Practice Address - Phone:216-407-7257
Practice Address - Fax:216-231-9933
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical