Simon, Leslie M

Simon, Leslie M is an sole proprietor health care provider with primary practice located at 1330 Lincoln Ave Suite 306, San Rafael CA 94901-2120. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Simon, Leslie M can be contacted via phone (415) 460-9072.

Contact Information

Primary practice address
1330 Lincoln Ave Suite 306 San Rafael CA 94901-2120
Phone: (415) 460-9072
Fax: (415) 444-5575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 14378 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 14378 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY 14378 California

Profile Details

NPI number 1215012729
LBN Legal business name Simon, Leslie M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Oct 27th, 2009 - about 17 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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