Provider Demographics
NPI:1720176746
Name:HADDEN, ANDREW LESLIE (PSYD, ABPP)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LESLIE
Last Name:HADDEN
Suffix:
Gender:M
Credentials:PSYD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19118 ALAMO LN
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-5464
Mailing Address - Country:US
Mailing Address - Phone:714-348-5888
Mailing Address - Fax:714-533-6884
Practice Address - Street 1:405 W 5TH ST STE 590
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4519
Practice Address - Country:US
Practice Address - Phone:714-687-6740
Practice Address - Fax:714-533-6884
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17222103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical