Provider Demographics
NPI:1316384951
Name:LEONE-FRIEDMAN, JUDITH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:LEONE-FRIEDMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JUDITH
Other - Middle Name:
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:5016 PARKWAY CALABASAS
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1419
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5016 PARKWAY CALABASAS
Practice Address - Street 2:SUITE 215
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1419
Practice Address - Country:US
Practice Address - Phone:818-625-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25712103T00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist