Provider Demographics
NPI:1528461597
Name:LEEVERS, XOCHITL CORTINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:XOCHITL
Middle Name:CORTINA
Last Name:LEEVERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44025 MARGARITA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-2728
Mailing Address - Country:US
Mailing Address - Phone:951-331-3938
Mailing Address - Fax:951-331-3843
Practice Address - Street 1:44025 MARGARITA RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-2728
Practice Address - Country:US
Practice Address - Phone:951-331-3938
Practice Address - Fax:951-331-3843
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31641103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical