Healthcare Provider Details

I. General information

NPI: 1255298576
Provider Name (Legal Business Name): LEILA ZAHEDI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 GRIZZLY PEAK BLVD
BERKELEY CA
94708-1214
US

IV. Provider business mailing address

1235 GRAND AVE
PIEDMONT CA
94610-1001
US

V. Phone/Fax

Practice location:
  • Phone: 510-910-3920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number368483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: