Individual
DR. FERNANDO ANDRE LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
921 RUSSELL AVE, GAITHERSBURG, MD 20879-3252
(301) 977-5675
(301) 963-9070
Mailing address
921 RUSSELL AVE, GAITHERSBURG, MD 20879-3252
(301) 977-5675
(301) 963-9070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2003
MD
Other
Enumeration date
02/16/2009
Last updated
06/02/2021
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