Provider Demographics
NPI:1629865449
Name:LESLIE WESTFIELD BAXTER, PHD LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:LESLIE WESTFIELD BAXTER, PHD LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WESTFIELD BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-373-1265
Mailing Address - Street 1:15661 HALINOR ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-4423
Mailing Address - Country:US
Mailing Address - Phone:702-373-1265
Mailing Address - Fax:
Practice Address - Street 1:15661 HALINOR ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-4423
Practice Address - Country:US
Practice Address - Phone:702-373-1265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY34216OtherCA PSYCHOLOGY LICENSE