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Individual

DR. BARRY M LEAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
4801 W PETERSON AVE, STE 525, CHICAGO, IL 60646
(773) 286-3100
(773) 777-7543
Mailing address
4801 W PETERSON AVE, STE 525, CHICAGO, IL 60646
(773) 286-3100
(773) 777-7543

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Enumeration date
05/24/2005
Last updated
07/08/2007
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