Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATECIA SHACOLE LEAVY
ActiveLATECIA SHACOLE LEAVY is a Developmental Therapist healthcare provider located in MARKHAM, Illinois. NPI 1053751396 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MARKHAM, IL
Registration Details
- NPI Number
- 1053751396
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2013 (13.114437069121 yrs)
- Last Updated
- Aug 14, 2024
- License
-
217000244 (IL)
Practice Information
- Address
-
15725 KEDZIE AVEMARKHAM, IL, 604283900Browse IL providers · Browse ZIP 60428
- Phone
- 3129334320
- Fax
- 7082322916
- Primary Specialty
-
Developmental Therapist
222Q00000X
- Additional Specialty
- Developmental Therapist
Other Developmental Therapist Providers in MARKHAM, IL
| Name | Credential | NPI |
|---|---|---|
| MISS KAREN J BARNES | — | 1104050798 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.