Individual
DR. SOPHIE LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(847) 707-8405
Mailing address
1121 STRATFORD RD, DEERFIELD, IL 60015-2822
(847) 707-8405
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.021043
IL
103T00000X
Psychologist
071.021043
IL
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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