MEDICARE: DR. LEAH FORTSON REED PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY35193	CA

General Provider Information

NPI Number	:	1437584158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH FORTSON REED PHD

Provider Business Mailing Address
First Line	:	201 MARTINDALE WAY
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91741-2447
Country	:	US
Telephone Number	:	310-387-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 MARTINDALE WAY
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91741-2447
Country	:	US
Telephone Number	:	310-387-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2013
Last Update Date	:	12/11/2025

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