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Contact Information

MICHAEL S LEIBOW, PSYD, DRPH
954 W FOOTHILL BLVD STE A
UPLAND, CA91786-3782
 Phone: 909-946-4222
 Fax: 909-946-8243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL S LEIBOW · (Male)

NPI Number 1669817607
Status Active
Credentials PSYD, DRPH
Entity Individual
Enumeration date 05/03/2013
Last updated 09/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY31070
  • MD License # 05438
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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