Leister, Sandra C

Leister, Sandra C is an sole proprietor health care provider with primary practice located at 701 Devonshire Dr , Champaign IL 61820-7337. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Leister, Sandra C can be contacted via phone (217) 352-2672.

Contact Information

Primary practice address
701 Devonshire Dr Champaign IL 61820-7337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1588702179
LBN Legal business name Leister, Sandra C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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