Jennifer Marissa Leigh
Psychologist, Prescribing (Medical) in Summerville, SC. Individual provider (NPI-1).
NPI number1497401657
StatusActive
Last updated in NPPESFeb 26, 2022
Details
- NPI
- 1497401657
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Marissa Leigh
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2022
- Certification date
- Feb 26, 2022
- Last updated
- Feb 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP0016X | Psychologist, Prescribing (Medical) | – | – | Yes |
Practice location
110 Fred St Apt 3hSummerville, SC 29483-6635
Phone 843-826-3870
Mailing address
110 Fred St Apt 3hSummerville, SC 29483-6635
Phone 843-826-3870
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