Gloria A Leitschuh Jr, PHD in Ashmore, IL - Psychologist

Gloria A Leitschuh Jr, PHD is a Psychologist - Clinical based in Ashmore, Illinois. Gloria A Leitschuh Jr is licensed to practice in Illinois (license number ) and her current practice location is 9462 N C R 2000 E, Ashmore, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 345-3206.

NPI number for Gloria A Leitschuh Jr is 1861690653 and her current mailing address is 9462 N C R 2000 E, Ashmore, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861690653.

Contact Information

	Gloria A Leitschuh Jr, PHD
	9462 N C R 2000 E, Ashmore, IL 61912
	(217) 345-3206
	Not Available

Healthcare Provider's Profile

Full Name	Gloria A Leitschuh Jr
Gender	Female
Speciality	Psychologist - Clinical
Location	9462 N C R 2000 E, Ashmore, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1861690653
Provider Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Gloria A Leitschuh Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861690653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(Illinois)	Primary
103TA0700X	Psychologist - Adult Development & Aging	(Illinois)	Primary
103TC0700X	Psychologist - Clinical	(Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria A Leitschuh Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gloria A Leitschuh Jr, PHD 9462 N C R 2000 E, Ashmore, IL 61912 Ph: (217) 345-3206	Gloria A Leitschuh Jr, PHD 9462 N C R 2000 E, Ashmore, IL 61912 Ph: (217) 345-3206

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Gloria A Leitschuh Jr, PHD - Psychologist in Ashmore, IL