Individual
DR. ERNEST CLIFTON LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
PELICAN BAY STATE PRISON, DEPT OF MENTAL HEALTH, CRESCENT CITY, CA 95532-0001
(707) 465-1000
Mailing address
1560 BOULDER RD, CRESCENT CITY, CA 95531-8823
(707) 464-0015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY7242
CA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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