DR. Leroy Burgess, PSYCHOLOGIST
NPI #1528449964 in South Bend, Indiana
Provider Information
- NPI Number
- 1528449964
- Entity Type
- Individual
- Name
- DR. Leroy Burgess, PSYCHOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Health Service
- Credential
- PSYCHOLOGIST
- Enumeration Date
- Jun 11, 2015
- Last Updated
- Jun 11, 2015
Practice Location
- Address
- 300 S SAINT LOUIS BLVD STE 202
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46617-3044
- Phone
- (574) 232-1405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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