Whalio Doctors

NPI 1174534259

John Nicholson Leavitt, PHD

Practitioner Clinical Neuropsychologist Shreveport, LA

Practice location

Address
510 E Stoner Ave, Shreveport, LA 71101-4243
Phone
(318) 424-6119

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X

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.