Doctor Name: | DR. LESLIE FRIED BEHAR |
NPI Number: | 1003252792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY11681 |
Business Practice Address: | 4966 El Camino Real Suite 115 Los Altos, CA - 940221436 |
Business Phone Number: | 6509479717 |
Business Fax Number: | |
Mailing Address: | 4966 El Camino Real, Suite 115 LOS ALTOS |
State: | CA |
Postal Code: | 940221436 |
Phone Number: | 6509479717 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | PSY11681 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |