NPI 1104866946

Edward Spencer Landreth, PSYD

Practitioner Clinical Psychologist Skokie, IL

Practice location

Address: 4709 Golf Road Suite 1150, Skokie, IL 60076-1252
Phone: (773) 213-1232

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071006758 (IL)

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Registry record

NPI: 1104866946
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 6 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.