Leavitt, John Nicholson
Leavitt, John Nicholson is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Leavitt, John Nicholson can be contacted via phone (318) 424-6119.Contact Information
Primary practice address
510 E Stoner Ave
Shreveport LA 71101-4243
Phone: (318) 424-6119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | Illinois |
Profile Details
| NPI number | 1174534259 |
|---|---|
| LBN Legal business name | Leavitt, John Nicholson |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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