Forman, Leslie I.

Forman, Leslie I. is an individual health care provider with primary practice located at 7600 Graves Ave , Rosemead CA 91770-3414. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Forman, Leslie I. can be contacted via phone (626) 280-6510.

Contact Information

Primary practice address
7600 Graves Ave Rosemead CA 91770-3414
Phone: (626) 280-6510
Fax: (626) 288-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10879 California

Profile Details

NPI number 1194842062
LBN Legal business name Forman, Leslie I.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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