Individual provider · Type 1 NPI

Andie Maika Leslie, PhD

Clinical Psychologist · Fort Bragg, CA

NPI number 1568984664 Active

Practice location

516 Cypress St
Fort Bragg, CA 95437-5410

Call (707) 961-0308 Map

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSB94027727 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1568984664

Andie Maika Leslie, PhD's National Provider Identifier is 1568984664, issued on Jul 10, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Bragg, CA. The record was last updated on Jul 16, 2024.