Provider Demographics
NPI:1073120556
Name:LEOPANDO, REZIA PEARL
Entity Type:Individual
Prefix:
First Name:REZIA
Middle Name:PEARL
Last Name:LEOPANDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3195
Mailing Address - Country:US
Mailing Address - Phone:154-767-3412
Mailing Address - Fax:415-977-0168
Practice Address - Street 1:25 ESSEX ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3195
Practice Address - Country:US
Practice Address - Phone:154-767-3412
Practice Address - Fax:415-977-0168
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor