JOHN NICHOLSON LEAVITT PHD
Clinical Neuropsychologist
Shreveport, Louisiana
Provider NPI: 1174534259
Provider Information:JOHN NICHOLSON LEAVITT PHD
Gender: M
Not Sole Proprietor
Practice Location:
510 E STONER AVE SHREVEPORT, LA 71101 US
Tel: 318-424-6119 Fax: --
Business Mailing Address:
510 E STONER AVE SHREVEPORT, LA 71101 US
Tel: 318-424-6119 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IL |