Individual
LEONARDO JAVIER CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-1839
(301) 319-2173
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 319-2173
(602) 222-2744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06736
MD
103TC0700X
Clinical Psychologist
4600
AZ
Other
Enumeration date
02/26/2015
Last updated
06/28/2024
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