Provider Demographics
NPI:1982205480
Name:LEAMON, MEGAN KATHERINE
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KATHERINE
Last Name:LEAMON
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 1:6909 ROYALTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2478
Mailing Address - Country:US
Mailing Address - Phone:440-630-9426
Mailing Address - Fax:402-559-5753
Practice Address - Street 1:6909 ROYALTON RD STE 201
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2478
Practice Address - Country:US
Practice Address - Phone:440-630-9426
Practice Address - Fax:402-559-5737
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.08849103T00000X
103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist