Provider Demographics
NPI:1306278643
Name:JUDITH LEONE-FRIEDMAN PSY D A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:JUDITH LEONE-FRIEDMAN PSY D A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONE-FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:818-625-8511
Mailing Address - Street 1:5016 PARKWAY CALABASAS STE 212
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3900
Mailing Address - Country:US
Mailing Address - Phone:818-324-3800
Mailing Address - Fax:
Practice Address - Street 1:23801 CALABASAS RD
Practice Address - Street 2:SUITE 1003
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1547
Practice Address - Country:US
Practice Address - Phone:818-625-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty