Dewayne Leakes
Dewayne Leakes is a Clinical Child & Adolescent Psychologist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
735 W 61st StChicago, IL 60621-2855
Phone: (773) 332-8381
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
Record details
| NPI number | 1851960959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2021 |
| Last updated in NPPES | June 22, 2021 |
| Certification date | June 22, 2021 |
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