Individual
LEAH STARR-GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 WEBSTER ST, SAN FRANCISCO, CA 94123-4005
(917) 968-4285
Mailing address
2901 WEBSTER ST, SAN FRANCISCO, CA 94123-4005
(917) 968-4285
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
32275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY32275
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
12/23/2020
Last updated
12/23/2020
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