Individual
DR. JACQUELINE WENDY LEIBSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1820 12TH AVE, SEATTLE, WA 98122-2438
(206) 296-5766
Mailing address
PO BOX 222000, SEATTLE UNIVERSITY, LOYOLA 212, SEATTLE, WA 98122
(206) 296-5766
(206) 296-1892
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1478
WA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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