Individual
DR. LEAH PENDARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11 N SLUSSER ST, GRAYSLAKE, IL 60030-1524
(847) 548-9313
(847) 548-7029
Mailing address
120 N LAKE ST, GRAYSLAKE, IL 60030-1521
(847) 548-9313
(847) 548-7029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
07/31/2005
Last updated
07/08/2007
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