Individual
LEAH KELLY BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 S CLOVERDALE AVE, LOS ANGELES, CA 90016-1211
(310) 780-0697
Mailing address
2119 S CLOVERDALE AVE, LOS ANGELES, CA 90016-1211
(323) 741-1913
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
200090298
CA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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