Healthcare Provider Details

I. General information

NPI: 1780875849
Provider Name (Legal Business Name): JOSHUA LEFLER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 CALIFORNIA AVE SUITE 107
BAKERSFIELD CA
93309-1671
US

IV. Provider business mailing address

5001 CALIFORNIA AVE SUITE 107
BAKERSFIELD CA
93309-1671
US

V. Phone/Fax

Practice location:
  • Phone: 661-843-7700
  • Fax: 661-283-0042
Mailing address:
  • Phone: 661-843-7700
  • Fax: 661-283-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number24196
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number24196
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number24196
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number24196
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number24196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: