Dr. Leroy Burgess, PSYCHOLOGIST - South Bend, IN

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.

Location: 300 S Saint Louis Blvd Ste 202, South Bend, IN, 46617-3044

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

Address

300 S Saint Louis Blvd Ste 202

City

South Bend

State

Indiana

Zip

46617-3044

Phone Number

574-232-1405

Fax Number

574-232-0124

Address

300 S Saint Louis Blvd Ste 202

City

South Bend

State

Indiana

Zip

46617-3044

Phone Number

574-232-1405

Fax Number

574-232-0124

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Health Service

Taxonomy

103TH0100X

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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