Doctor Name: | DR. LESLIE A LOUBIER |
NPI Number: | 1023261393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY20006 |
Business Practice Address: | 2490 Honolulu Ave Suite 135 Montrose, CA - 910201800 |
Business Phone Number: | 8182494300 |
Business Fax Number: | |
Mailing Address: | 2490 Honolulu Ave, Suite 135 MONTROSE |
State: | CA |
Postal Code: | 910201800 |
Phone Number: | 8182494300 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2008 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TE1100X |
License Number: | PSY20006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Exercise & Sports |
Taxonomy Definition: |