Leone Legan is a Clinical in Peoria, Illinois. Leone Legan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leone Legan is 1710954953. The last update date is 2007-07-08.
Leone Legan's current location address is 5409 N Knoxville, Peoria, Illinois. You can contact this provider via phone number 3096910420 and fax number 3096910520. The mailing address for Leone Legan is 5409 N Knoxville, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leone Legan |
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Address | 5409 N Knoxville, Peoria, Illinois |
Phone Number | 3096910420 |
Fax Number | 3096910520 |
Sole Proprietor | X |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1710954953 |
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Provider Enumeration Date | 2006-03-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5409 N Knoxville |
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City | Peoria |
State | Illinois (IL) |
Post Code | 61614 |
Phone Number | 3096910420 |
Fax Number | 3096910520 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7220997 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leone Legan by the Centers for Medicare & Medicaid Services?
The Leone Legan has been issued the NPI (National Provider Identifier) 1710954953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Leone Legan?
The Leone Legan is situated at 5409 N Knoxville, in the city of Peoria, state of IL, with the zip code 61614.
What is Leone Legan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leone Legan's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Leone Legan receive its 1710954953?
The Leone Legan was issued its 1710954953 on 2006-03-07, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Leone Legan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leone Legan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.