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Dr. Leroy Burgess, PSYCHOLOGIST
Health Service Psychologist in South Bend, Indiana
NPI 1528449964

Leroy Burgess is a Health Service Psychologist based in South Bend, IN and is specialized in Health Service. Leroy Burgess practices in South Bend, IN and has the professional credentials of PSYCHOLOGIST. The NPI Number for Leroy Burgess is 1528449964 and holds a License No. 99066271A (Indiana).

The current practice location address for Leroy Burgess is 300 S Saint Louis Blvd Ste 202, South Bend, IN and can be reached out via phone at 574-232-1405 and via fax at 574-232-0124. You can also correspond with Leroy Burgess through the mailing address at 300 S SAINT LOUIS BLVD STE 202, SOUTH BEND, IN - 46617-3044 (mailing address contact number: 574-232-1405).

Location: 300 S Saint Louis Blvd Ste 202, South Bend, IN, 46617-3044
person
Provider Profile Details
NPI Number
1528449964
Provider Name
Leroy Burgess
Credential
PSYCHOLOGIST
Provider Entity Type
Individual
Gender
Male
Address
300 S Saint Louis Blvd Ste 202, South Bend, IN, 46617-3044
Phone Number
574-232-1405
Fax Number
574-232-0124
Provider Enumeration Date
06/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 S Saint Louis Blvd Ste 202
City
State
Zip
46617-3044
Phone Number
574-232-1405
Fax Number
574-232-0124
person
Provider Business Mailing Address Details
Address
300 S Saint Louis Blvd Ste 202
City
State
Zip
46617-3044
Phone Number
574-232-1405
Fax Number
574-232-0124
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
99066271A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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