Individual
JACOB DAVID LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
3730 KIRBY DR STE 540, HOUSTON, TX 77098-3930
(713) 353-0254
Mailing address
3730 KIRBY DR STE 540, HOUSTON, TX 77098-3930
(713) 353-0254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38891
TX
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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