Individual
SARA DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
41690 ENTERPRISE CIR N STE 110, TEMECULA, CA 92590-5658
(951) 223-1117
(951) 290-3621
Mailing address
41690 ENTERPRISE CIR N STE 110, TEMECULA, CA 92590-5658
(951) 223-1117
(951) 290-3621
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY21374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114349586
NPI
CA
Enumeration date
01/20/2014
Last updated
01/28/2024
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