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Organization

BARRY M LEAVITT AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRY M LEAVITT PSYD (PRESIDENT)
(847) 441-4111
Entity
Organization

Contact information

Practice address
790 FRONTAGE RD, NORTHFIELD, IL 60093-1204
(847) 441-4111
Mailing address
790 FRONTAGE RD, NORTHFIELD, IL 60093-1204
(847) 441-4111

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003655
IL

Other

Enumeration date
11/05/2009
Last updated
11/09/2009
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