Dr Leyla T Brusatori, PHD - Psychologist in Lodi, CA

Dr Leyla T Brusatori, PHD is a Psychologist - Clinical Child & Adolescent based in Lodi, California. Dr Leyla T Brusatori is licensed to practice in California (license number PSY 23080) and her current practice location is 1812 W Kettleman Ln Ste 3, Lodi, California. She can be reached at her office (for appointments etc.) via phone at (707) 225-2317.

NPI number for Dr Leyla T Brusatori is 1437471190 and her current mailing address is 1812 W Kettleman Ln Ste 3, Lodi, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437471190.

Contact Information

Dr Leyla T Brusatori, PHD
1812 W Kettleman Ln Ste 3,
Lodi, CA 95242-4209
(707) 225-2317
(209) 593-3000

Map and Direction




Healthcare Provider's Profile

Full NameDr Leyla T Brusatori
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location1812 W Kettleman Ln Ste 3, Lodi, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437471190
  • Provider Enumeration Date: 02/23/2010
  • Last Update Date: 09/25/2018

Medical Identifiers

Medical identifiers for Dr Leyla T Brusatori such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437471190NPI-NPPES
9940639MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0000XPsychologist - Family PSY 23080 (California)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PSY 23080 (California)Primary

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 Leyla T Brusatori 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 AddressPractice Location Address
Dr Leyla T Brusatori, PHD
1812 W Kettleman Ln Ste 3,
Lodi, CA 95242-4209

Ph: (707) 225-2317
Dr Leyla T Brusatori, PHD
1812 W Kettleman Ln Ste 3,
Lodi, CA 95242-4209

Ph: (707) 225-2317

Reviews and Comments


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