Corrine Marie Leikam
Clinical Psychologist
15235 Burbank Blvd Ste B4
Van Nuys
, California 91411-3556
Corrine Marie Leikam
Clinical Psychologist
15235 Burbank Blvd Ste B4
Van Nuys
, California 91411-3556
(818) 324-3727
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Corrine Marie Leikam
- Po Box 3181
- Thousand Oaks, CA
- Zip : 91359-0181
- Phone : (818) 324-3727
Second Address
- Corrine Marie Leikam
- 15235 Burbank Blvd Ste B4
- Van Nuys, CA
- Zip : 91411-3556
- Phone : (213) 927-6770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 30262 | CA |
| Y | 103TC0700X | Clinical Psychologist | 30262 | CA |
National Provider Identifier
| NPI | 1003370941 |
|---|---|
| Provider Name | Corrine Marie Leikam |
| First Address | Thousand Oaks, CA 91359-0181 |
| Second Address | Van Nuys, CA 91411-3556 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2019 |
| Last Update Date | 24/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.