Dr Leslie I Forman, PHD - Psychologist in Rosemead, CA

Dr Leslie I Forman, PHD is a Psychologist - Clinical based in Rosemead, California. Dr Leslie I Forman is licensed to practice in California (license number PSY10879) and his current practice location is 7600 Graves Ave, Rosemead, California. He can be reached at his office (for appointments etc.) via phone at (626) 280-6510.

NPI number for Dr Leslie I Forman is 1194842062 and his current mailing address is Po Box 1039, Rosemead, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194842062.

Contact Information

Dr Leslie I Forman, PHD
7600 Graves Ave,
Rosemead, CA 91770-3414
(626) 280-6510
(626) 288-1026



Healthcare Provider's Profile

Full NameDr Leslie I Forman
GenderMale
SpecialityPsychologist - Clinical
Location7600 Graves Ave, Rosemead, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194842062
  • Provider Enumeration Date: 03/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Leslie I Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194842062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY10879 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leslie I Forman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leslie I Forman, PHD
Po Box 1039,
Rosemead, CA 91770-1000

Ph: (626) 280-6510
Dr Leslie I Forman, PHD
7600 Graves Ave,
Rosemead, CA 91770-3414

Ph: (626) 280-6510

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