Provider Demographics
NPI:1184834046
Name:LEONG, DEBORAH LU-LIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LU-LIN
Last Name:LEONG
Suffix:
Gender:F
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:13400 RIVERSIDE DR
Mailing Address - Street 2:#318
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2500
Mailing Address - Country:US
Mailing Address - Phone:818-341-7028
Mailing Address - Fax:818-341-7028
Practice Address - Street 1:13400 RIVERSIDE DR
Practice Address - Street 2:#318
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2500
Practice Address - Country:US
Practice Address - Phone:818-341-7028
Practice Address - Fax:818-341-7028
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13882103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist