Dr. Justin Leazenby
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
9324 W Stockton Blvd
Elk Grove
, California 95758-8012
Dr. Justin Leazenby
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
9324 W Stockton Blvd
Elk Grove
, California 95758-8012
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Justin Leazenby
- 800 Sereno Dr
- Vallejo, CA
- Zip : 94589-2411
- Phone :
Second Address
- Dr. Justin Leazenby
- 9324 W Stockton Blvd
- Elk Grove, CA
- Zip : 95758-8012
- Phone : (707) 651-2615
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FAQs
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Is Dr. Justin Leazenby a sole practitioner?
Is Dr. Justin Leazenby accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103G00000X | Clinical Psychologist | PSY27882 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY27882 | CA |
National Provider Identifier
| NPI | 1275997579 |
|---|---|
| Provider Name | Dr. Justin Leazenby |
| First Address | Vallejo, CA 94589-2411 |
| Second Address | Elk Grove, CA 95758-8012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2016 |
| Last Update Date | 17/01/2022 |
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.