| Doctor Name: | DR. RICHARD JAMES LEARY |
| NPI Number: | 1407123904 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 24294 |
| Business Practice Address: | 630 Drake Ave Sausalito, CA - 949651107 |
| Business Phone Number: | 4153398813 |
| Business Fax Number: | 4153398814 |
| Mailing Address: | 630 Drake Ave, SAUSALITO |
| State: | CA |
| Postal Code: | 949651107 |
| Phone Number: | 4153398813 |
| Fax Number: | 4153398814 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 24294 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |