Gloria A Leitschuh JR.
Psychologist Clinical Psychologist Adult Development & Aging Psychologist
9462 N C R 2000 E
Ashmore
, Illinois 61912
Gloria A Leitschuh JR.
Psychologist Clinical Psychologist Adult Development & Aging Psychologist
9462 N C R 2000 E
Ashmore
, Illinois 61912
(217) 345-3206
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About
Features
Specialties
- Psychologist
- Adult Development & Aging Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Gloria A Leitschuh JR.
- 9462 N C R 2000 E
- Ashmore, IL
- Zip : 61912
- Phone : (217) 345-3206
Second Address
- Gloria A Leitschuh JR.
- 9462 N C R 2000 E
- Ashmore, IL
- Zip : 61912
- Phone : (217) 345-3206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | IL | |
| N | 103T00000X | Psychologist | IL | |
| N | 103TA0700X | Adult Development & Aging Psychologist | IL | |
| N | 103G00000X | Clinical Psychologist | IL | |
| N | 103TC0700X | Clinical Psychologist | IL |
National Provider Identifier
| NPI | 1861690653 |
|---|---|
| Provider Name | Gloria A Leitschuh JR. |
| First Address | Ashmore, IL 61912 |
| Second Address | Ashmore, IL 61912 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.