Organization
THE LEAP CENTER FOR ANXIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN E SIEGEL PSYD (OWNER)
(312) 248-3084
Entity
Organization
Contact information
Practice address
1820 W WEBSTER AVE STE 400, CHICAGO, IL 60614-4892
(312) 248-3048
Mailing address
1820 W WEBSTER AVE STE 400, CHICAGO, IL 60614-4892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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