Individual
DR. ANDREW M LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1049 4TH ST STE G, SANTA ROSA, CA 95404-4345
(707) 579-9457
(707) 579-4515
Mailing address
1049 4TH ST STE G, SANTA ROSA, CA 95404-4345
(707) 579-9457
(707) 579-4515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10471
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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