Individual
DR. CLARENCE M LEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
415 W ROUTE 66, SUITE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Mailing address
415 W ROUTE 66, SUITE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 20904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY209040
—
CA
Enumeration date
01/22/2007
Last updated
10/04/2007
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