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Contact Information

MADELEINE LEAKE, PSYD
12501 CHANDLER BLVD STE 102
VALLEY VILLAGE, CA91607-1955
 Phone: 818-724-9822
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MADELEINE LEAKE · (Female)

NPI # 1336640226
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 02/26/2018
Last updated 02/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 29896
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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