Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | PSY11681 | CA |
Y | 103G00000X | Clinical Psychologist | PSY11681 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY11681 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY11681 | CA |
N | 103TF0000X | Family Psychologist | PSY11681 | CA |
N | 103TH0004X | Health Psychologist | PSY11681 | CA |
N | 103TP2701X | Group Psychotherapist | PSY11681 | CA |
NPI | 1003252792 |
---|---|
Provider Name | Dr. Leslie Fried Behar |
First Address | Los Altos, CA 94022-1436 |
Second Address | Los Altos, CA 94022-1436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 21/05/2013 |