Individual
GLORIA A LEITSCHUH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9462 N C R 2000 E, ASHMORE, IL 61912
(217) 345-3206
Mailing address
9462 N C R 2000 E, ASHMORE, IL 61912
(217) 345-3206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
IL
103TA0700X
Adult Development & Aging Psychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
07/03/2007
Last updated
09/11/2025
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