Individual
CORRINE MARIE LEIKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15235 BURBANK BLVD STE B4, VAN NUYS, CA 91411-3556
(213) 927-6770
Mailing address
PO BOX 3181, THOUSAND OAKS, CA 91359-0181
(818) 324-3727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30262
CA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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