Individual
LESLEY ANNE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 517-7107
Mailing address
8462 FOREST PARK ST, CHINO, CA 91708-9369
(714) 606-6060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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