Doctor Name: | MRS. LESLIE ANN REED |
NPI Number: | 1114015807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSY 13271 |
Business Practice Address: | 2798 Coloma St Placerville, CA - 95667 |
Business Phone Number: | 5306263827 |
Business Fax Number: | 5306267715 |
Mailing Address: | 2798 Coloma St, PLACERVILLE |
State: | CA |
Postal Code: | 95667 |
Phone Number: | 5306263827 |
Fax Number: | 5306267715 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 13271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |