CORRINE MARIE LEIKAM


Address: 15235 Burbank Blvd Ste B4, Van Nuys, CA 91411-3556
Phone: 2139276770

CORRINE MARIE LEIKAM (NPI# 1003370941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003370941
Entity Type Individual
Full Name CORRINE MARIE LEIKAM
Other Name CORRINE MARIE BARNER
Credential PSY.D.
Practice Address 15235 Burbank Blvd Ste B4
Van Nuys
CA 91411-3556
Mailing Address Po Box 3181
Thousand Oaks
CA 91359-0181
Practice Telephone 2139276770
Mailing Telephone 8183243727
Enumeration Date 2019-01-24
Last Update Date 2019-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
30262 CA Behavioral Health & Social Service Providers

Office Location

Street Address 15235 BURBANK BLVD STE B4
City VAN NUYS
State CA
Zip Code 91411-3556

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1477700664 Krishana Alexandra Rivas Psychologist 6851 Lennox Ave Ste 100, Van Nuys, CA 91405-4076 2008-08-19
1922260561 Lorna Katherine Peer Psychologist 5727 Vista Del Monte Ave, Van Nuys, CA 91411-3358 2008-06-25
1679760235 Syeda Nafisa Banoo Psychologist 14600 Sherman Way Ste 200, Van Nuys, CA 91405-5850 2007-09-27
1831230069 Howard Lee Myerhoff Psychologist 6842 Van Nuys Blvd, Suite 100, Van Nuys, CA 91405-4650 2007-02-09
1932671518 Bita Nazarian Psychologist 14540 Victory Blvd Ste 101, Van Nuys, CA 91411-1697 2018-12-20
1164836672 Rosmeri Marin Guerrero Psychologist 6851 Lennox Ave Ste 100, Van Nuys, CA 91405-4076 2014-06-12
1770863896 Psychological Resources and Services, Inc Psychologist 15235 Burbank Blvd, Van Nuys, CA 91411-3500 2011-08-19
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Competitor

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City VAN NUYS
Zip Code 91411

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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