Provider Demographics
NPI:1154090835
Name:FARINA, LEELA REBECCA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEELA
Middle Name:REBECCA
Last Name:FARINA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LEELA
Other - Middle Name:REBECCA
Other - Last Name:HOLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1024 E RIDGEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-1024
Mailing Address - Country:US
Mailing Address - Phone:206-915-7903
Mailing Address - Fax:
Practice Address - Street 1:16111 PLUMMER ST BLDG 10
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist