Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leslie K Poulos, PSYD, HSPP

Individual provider Clinical Psychologist · NPI 1063398238

Leslie K Poulos, PSYD, HSPP is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2025.

Licensed in
IL, IN
In the registry since
2025
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2010 N Damen Ave Unit F
Chicago, IL 60647-3286
Phone: (773) 887-6447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.022302 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 20043979B (IN)

Record details

NPI number1063398238
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PSYD , HSPP
Sole proprietorNo
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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