Provider Demographics
NPI:1346499761
Name:LESHNER, ANNA FAYE
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:FAYE
Last Name:LESHNER
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:PO BOX 9480
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91226-0480
Mailing Address - Country:US
Mailing Address - Phone:818-214-7688
Mailing Address - Fax:
Practice Address - Street 1:713 BURCHETT ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2109
Practice Address - Country:US
Practice Address - Phone:818-214-7688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist