Vandendale, Leland
Vandendale, Leland is an sole proprietor health care provider with primary practice located at 870 Market St Ste 1186 , San Francisco CA 94102-2922. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Vandendale, Leland can be contacted via phone (415) 359-4117.Contact Information
Primary practice address
870 Market St Ste 1186
San Francisco CA 94102-2922
Phone: (415) 359-4117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | PSY 9210 | California |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PSY 9210 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 9210 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 9210 | California |
Profile Details
| NPI number | 1609309103 |
|---|---|
| LBN Legal business name | Vandendale, Leland |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Mar 29th, 2021 - about 5 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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