MR. Michael John Legan, MS LCPC

NPI #1992773782 in Peoria, Illinois

Provider Information

NPI Number: 1992773782
Entity Type: Individual
Name: MR. Michael John Legan, MS LCPC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: MS LCPC
Enumeration Date: Mar 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5409 N KNOXVILLE
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 691-0420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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