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Contact Information

LEIBOW PSYCHOLOGY GROUP, PC
11175 CAMPUS ST
LOMA LINDA, CA92350-1700
 Phone: 305-336-1168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health

103TH0004X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LEIBOW PSYCHOLOGY GROUP PC · (Female)

NPI # 1760028575
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2019
Last updated 10/04/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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