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Contact Information

JENNIFER M LEATH, PSYD
1400 QUAIL ST STE 136
NEWPORT BEACH, CA92660-2788
 Phone: 949-385-2775
 Fax: 949-336-3763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER M LEATH · (Female)

NPI Number 1497953442
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/10/2007
Last updated 10/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY26109
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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