Provider Demographics
NPI:1912145343
Name:SCHLANG ROCKLIN, LEIGH (LCPC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:SCHLANG ROCKLIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 GREGORY AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-3306
Mailing Address - Country:US
Mailing Address - Phone:847-256-9956
Mailing Address - Fax:
Practice Address - Street 1:825 GREGORY AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-3306
Practice Address - Country:US
Practice Address - Phone:847-256-9956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007107172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker