Individual
DENISE LEGACKI TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1801 N MILL ST, SUITE C, NAPERVILLE, IL 60563-1274
(630) 717-5911
(630) 717-9140
Mailing address
1801 N MILL ST, SUITE C, NAPERVILLE, IL 60563-1274
(630) 717-5911
(630) 717-9140
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
71006304
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232064
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
12/05/2007
Last updated
12/05/2007
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