Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LESLIE MARIE FULGHAM, PH.D

Active Sole Proprietor

Clinical Psychologist · SANTA MONICA, CA

Registration Details

NPI Number: 1811100993
Provider Type: Individual
Gender: Female
NPI Issued: May 7, 2007 (19.020907375494 yrs)
Last Updated: Aug 13, 2021
License: PSY20561 (CA)
Sole Proprietor: Yes

Practice Information

Address: 270 26TH ST

SUITE 208

SANTA MONICA, CA, 904022566
Browse CA providers · Browse ZIP 90402
Phone: 3106251137
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SANTA MONICA, CA

Name	Credential	NPI
DR. ELAYNE ROSOFF	PH.D.	1124014477
DR. MICHAEL DAVID GREENWALD	PH.D.	1104814706
DR. PAUL A BOYLE	PH.D.	1962455246
DR. MARIANN HYBELS MILLER	PH.D.	1205860830
DR. CAROLYN B. SHADDUCK	PH.D., PSY.D.	1891710125
DR. WILLIAM MILLER	PH.D.	1437170248

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.