Individual
LESLIE GARDNER MCKEEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
928 N WOLCOTT AVE APT 2, CHICAGO, IL 60622-4940
(847) 372-1483
Mailing address
928 N WOLCOTT AVE APT 2, CHICAGO, IL 60622-4940
(847) 372-1483
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043194A
IN
103TC0700X
Clinical Psychologist
071010210
IL
Other
Enumeration date
09/07/2018
Last updated
01/13/2021
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