Individual
DR. LESLIE BRANKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
60 REVERE DR STE 200, NORTHBROOK, IL 60062-1574
(224) 406-9974
(224) 306-1878
Mailing address
60 REVERE DR STE 200, NORTHBROOK, IL 60062-1574
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009801
IL
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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