LESLIE K POULOS

CHICAGO, IL
NPI1063398238
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071.022302)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: IN  20043979B)
Enumeration Date2025-08-13
Last Update Date2025-08-13
Business Address
LESLIE K POULOS PsyD, HSPP
2010 N DAMEN AVE UNIT F
CHICAGO, IL 60647-3286
Phone number: 773-887-6447
Mailing Address
LESLIE K POULOS PsyD, HSPP
7230 OLCOTT AVE
HAMMOND, IN 46323-2044
Phone number: 219-616-3646