Provider Demographics
NPI:1922286491
Name:STOBIN LINSLEY, LESLIE GAIL (MED)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:GAIL
Last Name:STOBIN LINSLEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:GAIL
Other - Last Name:STOBIN LINSLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED
Mailing Address - Street 1:419 QUEEN ANNE AVE NORTH SUITE # 108
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109
Mailing Address - Country:US
Mailing Address - Phone:206-284-8611
Mailing Address - Fax:
Practice Address - Street 1:419 QUEEN ANNE AVE NORTH SUITE # 108
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109
Practice Address - Country:US
Practice Address - Phone:206-284-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003977101YM0800X
WALF00001472106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist