Healthcare Provider Details

I. General information

NPI: 1457118218
Provider Name (Legal Business Name): LESLIE C HOWARD PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 WESTWOOD BLVD STE 27
LOS ANGELES CA
90024-4931
US

IV. Provider business mailing address

1328 WESTWOOD BLVD STE 27
LOS ANGELES CA
90024-4931
US

V. Phone/Fax

Practice location:
  • Phone: 310-475-3846
  • Fax:
Mailing address:
  • Phone: 310-475-3846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC31624
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: