Provider Demographics
NPI:1760740468
Name:LESLEIGH FRANKLIN, PHD
Entity Type:Organization
Organization Name:LESLEIGH FRANKLIN, PHD
Other - Org Name:EASY BAY FAMILY INSTUTE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-268-8544
Mailing Address - Street 1:400 29TH ST STE 405O
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3549
Mailing Address - Country:US
Mailing Address - Phone:510-821-3417
Mailing Address - Fax:510-842-1501
Practice Address - Street 1:400 29TH ST STE 405O
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3549
Practice Address - Country:US
Practice Address - Phone:510-821-3417
Practice Address - Fax:510-842-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PSY17471103T00000X
103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty