Individual
DR. ASYA MONIQUE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5047 ROBERT J MATHEWS PKWY STE 302, EL DORADO HILLS, CA 95762-5748
(916) 992-4114
Mailing address
PO BOX 11655, PHILADELPHIA, PA 19116-0655
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30961
CA
103T00000X
Psychologist
B1-0011259
DE
103TC0700X
Clinical Psychologist
30961
CA
103TC0700X
Clinical Psychologist
B1-0011259
DE
103TF0200X
Forensic Psychologist
30961
CA
103TF0200X
Forensic Psychologist
B1-0011259
DE
Other
Enumeration date
06/20/2019
Last updated
07/02/2021
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