Individual
DR. REBECCA MELODY LEIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6216A HIGHWAY 9, FELTON, CA 95018-9713
(831) 419-5699
Mailing address
6216A HIGHWAY 9, FELTON, CA 95018-9713
(831) 419-5699
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
22164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41816
UNICARE ID
CA
Enumeration date
11/28/2006
Last updated
01/13/2009
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