Doctor Name: | DR. LESLIE ANN DOBSON |
NPI Number: | 1104176411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 943345777 |
Business Practice Address: | 10333 El Camino Real Atascadero, CA - 934225808 |
Business Phone Number: | 8054682000 |
Business Fax Number: | 8054686011 |
Mailing Address: | 1600 9th St, Room 150 Fiscal Allocations And Estimates Unit SACRAMENTO |
State: | CA |
Postal Code: | 958146414 |
Phone Number: | 9166519475 |
Fax Number: | 9166518908 |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 943345777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |