Leishman, Kristen Nicol

Leishman, Kristen Nicol is an individual health care provider with primary practice located at 911 Coeur D'Alene Ave , Venice CA 90291. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leishman, Kristen Nicol can be contacted via phone (310) 448-8882.

Contact Information

Primary practice address
911 Coeur D'Alene Ave Venice CA 90291
Phone: (310) 448-8882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26811 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720315096
LBN Legal business name Leishman, Kristen Nicol
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2009
Last updated Dec 1st, 2014 - about 11 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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