Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEYLA T BRUSATORI, PHD
Active Sole ProprietorDR. LEYLA T BRUSATORI, PHD is a Child, Clinical Psychologist healthcare provider located in LODI, California. NPI 1437471190 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · LODI, CA
Registration Details
- NPI Number
- 1437471190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2010 (16.513121594214 yrs)
- Last Updated
- Sep 25, 2018
- Licenses
-
PSY 23080 (CA)PSY 23080 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1812 W KETTLEMAN LN STE 3LODI, CA, 952424209Browse CA providers · Browse ZIP 95242
- Phone
- 7072252317
- Fax
- 2095933000
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.