Individual
DR. LEYLA T BRUSATORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1812 W KETTLEMAN LN STE 3, LODI, CA 95242-4209
(707) 225-2317
(209) 593-3000
Mailing address
1812 W KETTLEMAN LN STE 3, LODI, CA 95242-4209
(707) 225-2317
(209) 593-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 23080
CA
103TF0000X
Family Psychologist
PSY 23080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9940639
—
CA
Enumeration date
02/23/2010
Last updated
09/25/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us