Dr Kristen Nicol Leishman, PSYD is a
Psychologist - Clinical based in Venice, California. Dr Kristen Nicol Leishman is licensed to practice in California (license number PSY26811) and her current practice location is
911 Coeur D'alene Ave, Venice, California. She can be reached at her office (for appointments etc.) via phone at
(310) 448-8882.
NPI number for Dr Kristen Nicol Leishman is 1720315096 and her current mailing address is 2461 Santa Monica Blvd, #730, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720315096.
Healthcare Provider's Profile
| Full Name | Dr Kristen Nicol Leishman |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 911 Coeur D'alene Ave, Venice, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720315096
- Provider Enumeration Date: 11/06/2009
- Last Update Date: 12/01/2014
Medical Identifiers
Medical identifiers for Dr Kristen Nicol Leishman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720315096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY26811 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristen Nicol Leishman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kristen Nicol Leishman, PSYD
2461 Santa Monica Blvd, #730,
Santa Monica, CA 90404-2138
Ph: (310) 461-8561 | Dr Kristen Nicol Leishman, PSYD
911 Coeur D'alene Ave,
Venice, CA 90291
Ph: (310) 448-8882 |
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