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Contact Information

ANDREW M LEEDS, PHD
1049 4TH ST STE G
SANTA ROSA, CA95404-4345
 Phone: 707-579-9457
 Fax: 707-579-4515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANDREW M LEEDS · (Male)

NPI Number 1013095744
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY10471
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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