Southwick, Leah
Southwick, Leah is an sole proprietor health care provider with primary practice located at 12021 Old Mill Rd , Los Alamitos CA 90720-4322. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Southwick, Leah can be contacted via phone (310) 409-7907.Contact Information
Primary practice address
12021 Old Mill Rd
Los Alamitos CA 90720-4322
Phone: (310) 409-7907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF 47510 | California |
Profile Details
| NPI number | 1356475735 |
|---|---|
| LBN Legal business name | Southwick, Leah |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Aug 19th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356475735 | NPPES |
| California | MEDICAID | PSIX963 |
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