Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 102L00000X | Psychologist | 0810006361 | VA |
N | 103T00000X | Psychologist | 0810006361 | VA |
Y | 103G00000X | Clinical Psychologist | 071009885 | IL |
Y | 103TC0700X | Clinical Psychologist | 071009885 | IL |
NPI | 1013309426 |
---|---|
Provider Name | Dr. David Xuan-Khoa Le |
First Address | Chicago, IL 60603-3453 |
Second Address | Chicago, IL 60603-3453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2015 |
Last Update Date | 13/05/2020 |