Individual provider · Type 1 NPI

Leisel Iverson, ATC

Psychologist · Libertyville, IL

NPI number 1295486769 Active

Practice location

1641 N. Milkwaukee Avenue, Adler Park Plaza, Suite 7
Libertyville, IL 60048

Mailing address

3025 N Seminary Avenue, Gdn
Chicago, IL 60657

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X080502241
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1295486769

Leisel Iverson, ATC's National Provider Identifier is 1295486769, issued on Jan 15, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Libertyville, IL. The record was last updated on Jan 15, 2022.