Individual
HEATHER LEASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9888 CARROLL CENTRE RD STE 216, SAN DIEGO, CA 92126-4515
(858) 413-7357
Mailing address
9888 CARROLL CENTRE RD STE 216, SAN DIEGO, CA 92126-4515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17239
CA
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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