| Judy De Leon | |
|
3425 S Bascom Ave Suite F Campbell CA 95008-7300 | |
| (408) 595-5258 | |
| Not Available |
| Full Name | Judy De Leon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3425 S Bascom Ave, Campbell, California |
| Authorized Official Name and Position | Judy De Leon (MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 4085955258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy De Leon 3425 S Bascom Ave Suite F Campbell CA 95008-7300 Ph: (408) 595-5258 | Judy De Leon 3425 S Bascom Ave Suite F Campbell CA 95008-7300 Ph: (408) 595-5258 |
| NPI Number | 1073774170 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073774170 | NPI | - | NPPES |
| 1043388598 | Other | CA | GARDNER FA MILY CARE CORP. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC 41569 (California) | Primary |
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