Healthcare Provider Details

I. General information

NPI: 1629865449
Provider Name (Legal Business Name): LESLIE WESTFIELD BAXTER, A PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15661 HALINOR ST
HESPERIA CA
92345-4423
US

IV. Provider business mailing address

15661 HALINOR ST
HESPERIA CA
92345-4423
US

V. Phone/Fax

Practice location:
  • Phone: 702-373-1265
  • Fax:
Mailing address:
  • Phone: 702-373-1265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLIE MARIE WESTFIELD BAXTER
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 702-373-1265