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NPI Code Detail

MEDICARE: LEAH POLSTER LMFT

MEDICARE: LEAH POLSTER LMFT
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
1106H00000XMarriage & Family Therapist148607CA

General Provider Information

NPI Number : 1538531934
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH POLSTER LMFT
Provider Business Mailing Address
First Line : 5252 BALBOA AVE STE 800
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-6970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5252 BALBOA AVE STE 800
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-6970
Country : US
Telephone Number : 614-270-8093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2015
Last Update Date : 02/09/2025

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Directions to “ LEAH POLSTER LMFT” Practice Location

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