Healthcare Provider Details

I. General information

NPI: 1841398344
Provider Name (Legal Business Name): ELIZABETH FAYE LEONARD-ISO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH FAY LEONARD-ISO LMFT

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46606 WINDMILL DR
FREMONT CA
94539-7236
US

IV. Provider business mailing address

46606 WINDMILL DR
FREMONT CA
94539-7236
US

V. Phone/Fax

Practice location:
  • Phone: 408-946-2399
  • Fax: 510-651-5397
Mailing address:
  • Phone: 408-946-2399
  • Fax: 510-651-5397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC20577
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: