Doctor Name: | DR. LEAH LOUANNE ELLISON COLE |
NPI Number: | 1417122128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH D |
License Number: | 20815 |
Business Practice Address: | 5905 Soquel Dr 600 Soquel, CA - 950732855 |
Business Phone Number: | 8314799690 |
Business Fax Number: | 8314799690 |
Mailing Address: | 5905 Soquel Dr, 600 SOQUEL |
State: | CA |
Postal Code: | 950732855 |
Phone Number: | 4084066690 |
Fax Number: | 8314799690 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 20815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |