Organization
K&L CLINICAL FORENSIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LEITE PHD (PARTNER)
(913) 548-8862
Entity
Organization
Contact information
Practice address
3447 W SHAW AVE STE 102, FRESNO, CA 93711-3251
(913) 548-8862
Mailing address
6157 N FIGARDEN DR APT 104, FRESNO, CA 93722-7960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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