| Andrew J Leone, Psyd A Psychological Corporation | |
|
325 E Hillcrest Dr Ste 115 Thousand Oaks CA 91360-7782 | |
| (415) 519-5961 | |
| Not Available |
| Full Name | Andrew J Leone, Psyd A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 325 E Hillcrest Dr Ste 115, Thousand Oaks, California |
| Authorized Official Name and Position | Andrew Joseph Leone (OWNER) |
| Authorized Official Contact | 4155195961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Leone, Psyd A Psychological Corporation 11759 Seminole Cir Porter Ranch CA 91326-1423 Ph: (415) 519-5961 | Andrew J Leone, Psyd A Psychological Corporation 325 E Hillcrest Dr Ste 115 Thousand Oaks CA 91360-7782 Ph: (415) 519-5961 |
| NPI Number | 1780359240 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Medicare PECOS PAC ID | 9537557608 |
|---|---|
| Medicare Enrollment ID | O20211021001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780359240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew J Leone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619162260 PECOS PAC ID: 8628487568 Enrollment ID: I20210506000676 |
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