Leibow, Michael Stuart
Leibow, Michael Stuart is an individual health care provider with primary practice located at 954 W Foothill Blvd Ste A , Upland CA 91786-3782. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leibow, Michael Stuart can be contacted via phone (909) 946-4222.Contact Information
Primary practice address
954 W Foothill Blvd Ste A
Upland CA 91786-3782
Phone: (909) 946-4222
Fax: (909) 946-8243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 05438 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY31070 | California |
Profile Details
| NPI number | 1669817607 |
|---|---|
| LBN Legal business name | Leibow, Michael Stuart |
| Credentials | PSYD, DRPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2013 |
| Last updated | Sep 4th, 2019 - about 7 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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