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Individual

DR. MATTHEW TODD LEIBSOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1450 114TH AVE SE, STE 100, BELLEVUE, WA 98004-6962
(425) 453-7722
(425) 320-1021
Mailing address
3206 74TH PL SE, MERCER ISLAND, WA 98040-3400
(425) 453-7722
(425) 320-1021

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1764
WA

Other

Enumeration date
10/10/2007
Last updated
10/10/2007
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