Leah Pendarvis PH.D.

NPI 1093715088 - Psychologist - 103TC0700X

NPI Details
NPI 1093715088
Gender Female
Enumeration Date 07/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11 N SLUSSER ST
GRAYSLAKE IL, 60030-1524, US
Phone (847) 548-9313
Fax (847) 548-7029
Business Location
120 N LAKE ST
GRAYSLAKE IL, 60030-1521, US
Phone (847) 548-9313
Fax (847) 548-7029
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Dr. Leah Pendarvis PH.D. NPI is 1093715088, taxonomy code is 103TC0700X Leah Pendarvis PH.D. physically located at 11 N Slusser St, Grayslake IL, 60030-1524. NPI Number Leah Pendarvis PH.D. has the Individual type.

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1093715088 NPI number is provided on an as is basis without warranty of any kind. 1093715088 is maintained by the National Plan & Provider Enumeration System. The contents of Leah Pendarvis PH.D. are for informational purposes only.