Individual
LEILA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. LCP
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-2000
(804) 628-7814
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005010
VA
Other
Enumeration date
08/20/2014
Last updated
07/21/2022
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