Individual provider · Type 1 NPI

Leslie K. Poulos, PSYD, HSPP

Clinical Psychologist · Chicago, IL

NPI number 1063398238 Active

Practice location

2010 N Damen Ave Unit F
Chicago, IL 60647-3286

Mailing address

7230 Olcott Ave
Hammond, IN 46323-2044

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X20043979B (IN)
Clinical Psychologist Primary 103TC0700X071.022302 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1063398238

Leslie K. Poulos, PSYD, HSPP's National Provider Identifier is 1063398238, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Aug 13, 2025.