Individual
DR. CHARLES SAMUEL LEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
250 WEST FIRST STREET, SUITE 246, CLAREMONT, CA 91711-3720
(909) 238-8001
(909) 399-9704
Mailing address
250 WEST FIRST STREET, SUITE 246, CLAREMONT, CA 91711-3720
(909) 238-8001
(909) 399-9704
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY7880
CA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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