Provider Demographics
NPI:1942393046
Name:WESTBROOK, LESLIE ARDEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ARDEN
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 FARRAGUT AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2109
Mailing Address - Country:US
Mailing Address - Phone:301-946-4842
Mailing Address - Fax:
Practice Address - Street 1:9601 CEDAR LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4045
Practice Address - Country:US
Practice Address - Phone:301-946-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health