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General NPI Number Information
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NPI Number | 1437304706
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Entity Type | Organization
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Legal Business Name | LEONARD J. WESTON, PH.D., A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 11/29/2008
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 71650 SAHARA RD STE 3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4336
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Country | US
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Telephone | 760-880-2002
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Fax |
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Provider Business Mailing Address
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Address Line | 72810 AMBROSIA ST
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City | PALM DESERT
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State | CA
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Zip | 92260-5971
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Country | US
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Telephone | 760-346-5757
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Fax | 760-341-1333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEONARD JOSEPH WESTON
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Credential | PH.D.
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Telephone | 760-346-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY5789
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License Number State | CA
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