Individual
LESLIE CREA-KAMMERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2835 N SHEFFIELD AVE STE 310, CHICAGO, IL 60657-5084
(773) 234-0695
Mailing address
3930 N PINE GROVE AVE APT 1911, CHICAGO, IL 60613-5510
(609) 221-4863
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
071008168
IL
Other
Enumeration date
01/18/2011
Last updated
05/14/2024
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