Individual
LEAH COHEN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3040 N WILTON AVE FL 2, CHICAGO, IL 60657
(773) 296-7340
Mailing address
3040 N WILTON AVE FL 2, CHICAGO, IL 60657-4424
(773) 296-7340
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071009902
IL
103TS0200X
School Psychologist
—
—
Other
Enumeration date
06/12/2017
Last updated
03/18/2019
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