Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEROY BURGESS, PSYCHOLOGIST
Active Sole ProprietorDR. LEROY BURGESS, PSYCHOLOGIST is a Health Service Psychologist healthcare provider located in SOUTH BEND, Indiana. NPI 1528449964 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1528449964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2015 (10.98967158578 yrs)
- Last Updated
- Jun 11, 2015
- License
-
99066271A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 S SAINT LOUIS BLVD STE 202SOUTH BEND, IN, 466173044Browse IN providers · Browse ZIP 46617
- Phone
- 5742321405
- Fax
- 5742320124
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Other Health Service Psychologist Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JOYCE VESTAL DUNFEE | PHD | 1659369098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.