Chagoury, Riana Leake

Chagoury, Riana Leake is an sole proprietor health care provider with primary practice located at 15030 7Th St , Victorville CA 92395-3811. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Chagoury, Riana Leake can be contacted via phone (833) 438-8763.

Contact Information

Primary practice address
15030 7Th St Victorville CA 92395-3811
Phone: (833) 438-8763
Fax: (833) 438-8700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32343 California

Profile Details

NPI number 1851644538
LBN Legal business name Chagoury, Riana Leake
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2012
Last updated Mar 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851644538 NPPES
California MEDICAID 01261511

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