NPI 1174534259
John Nicholson Leavitt, PHD
Practice location
- Address
- 510 E Stoner Ave, Shreveport, LA 71101-4243
- Phone
- (318) 424-6119
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1174534259
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Aug 2006
- Record last updated
- 8 Jul 2007
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.