MEDICARE: MS. ELIZABETH FAYE LEONARD-ISO 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
1	106H00000X	Marriage & Family Therapist	MFC20577	CA

General Provider Information

NPI Number	:	1841398344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH FAYE LEONARD-ISO LMFT

Provider Business Mailing Address
First Line	:	46606 WINDMILL DR
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-7236
Country	:	US
Telephone Number	:	408-946-2399
Fax Number	:	510-651-5397

Provider Business Practice Location Address
First Line	:	46606 WINDMILL DR
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-7236
Country	:	US
Telephone Number	:	408-946-2399
Fax Number	:	510-651-5397

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/24/2026

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