Provider Demographics
NPI:1902963200
Name:KAYS, LESLIE E (MFT)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:E
Last Name:KAYS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4341 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7200
Mailing Address - Country:US
Mailing Address - Phone:925-462-5544
Mailing Address - Fax:925-485-1273
Practice Address - Street 1:4341 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7200
Practice Address - Country:US
Practice Address - Phone:925-462-5544
Practice Address - Fax:925-485-1273
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28513106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist