Individual
LESLIE THUYLAN TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7285 QUILL DR, DOWNEY, CA 90242-2001
(562) 940-6077
(562) 803-0637
Mailing address
7285 QUILL DR, DOWNEY, CA 90242-2001
(562) 940-6077
(562) 803-0637
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 18348
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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