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Organization

JAL PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIE ANN LEONARD PSYD (PRESIDENT)
(708) 364-7046
Entity
Organization

Contact information

Practice address
60 ORLAND SQUARE DR STE 203, ORLAND PARK, IL 60462-6523
(708) 364-7046
(708) 364-7048
Mailing address
60 ORLAND SQUARE DR STE 203, ORLAND PARK, IL 60462-6523
(708) 364-7046
(708) 364-7048

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
071006856
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
071006856
IL

Other

Enumeration date
02/13/2012
Last updated
02/13/2012
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