JOHN NICHOLSON LEAVITT

SHREVEPORT, LA
NPI1174534259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: IL  071-003545)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
-- JOHN NICHOLSON LEAVITT PhD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6119
Mailing Address
-- JOHN NICHOLSON LEAVITT PhD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6119
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