Individual
LEIGH MICHAEL DONART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4075
Mailing address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28616
CA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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