Individual
DR. LESLEY CAROLINE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
475 WASHINGTON BLVD, MARINA DEL REY, CA 90292-5287
(310) 740-6710
(310) 794-9574
Mailing address
475 WASHINGTON BLVD, MARINA DEL REY, CA 90292-5287
(310) 740-6710
(310) 794-9574
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY22374
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
22374
CA
Other
Enumeration date
08/01/2007
Last updated
02/28/2023
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