Search › Wisconsin › 1041C0700X
Shane Leach, LCSW
NPI 1861332827 · on the registry since 2026
Practice
- Address
- 5555 N Port Washington Rd Ste 200
Glendale, WI 53217 - Phone
- (262) 999-3495
- Fax
- (262) 821-6180
- Organisation at this address
- Jeffrey L Polczinski Psyd Llc
North Shore Psychotherapy Associates IvInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Additional practice sites
- 5650 N Green Bay Ave Ste 205, Glendale, WI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin