Provider Demographics
NPI:1609030287
Name:BAKRY-BECKER, LEILA ANNETTE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LEILA
Middle Name:ANNETTE
Last Name:BAKRY-BECKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:LEILA
Other - Middle Name:ANNETTE
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:804 PERSHING DR
Mailing Address - Street 2:SUITE 004
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4434
Mailing Address - Country:US
Mailing Address - Phone:214-725-8062
Mailing Address - Fax:
Practice Address - Street 1:804 PERSHING DR
Practice Address - Street 2:SUITE 004
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-588-3088
Practice Address - Fax:301-588-3087
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000209103TC0700X
VA0810003333103TC0700X
MD04379103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD064639300Medicaid