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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IL









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