Individual
DR. LEONE LEGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5409 N KNOXVILLE AVE, PSYCHOLOGICAL ASSOCIATES, PEORIA, IL 61614
(309) 691-0420
(309) 691-0520
Mailing address
5409 N KNOXVILLE, PSYCHOLOGICAL ASSOCIATES, PEORIA, IL 61614
(309) 691-0420
(309) 691-0520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07220997
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/07/2006
Last updated
07/08/2007
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