| Dr Leroy Burgess, PSYCHOLOGIST | |
|
300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 | |
| (574) 232-1405 | |
| (574) 232-0124 |
| Full Name | Dr Leroy Burgess |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Health Service |
| Location | 300 S Saint Louis Blvd Ste 202, South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528449964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | 99066271A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leroy Burgess, PSYCHOLOGIST 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 Ph: (574) 232-1405 | Dr Leroy Burgess, PSYCHOLOGIST 300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 Ph: (574) 232-1405 |
Rachel Njuguna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131 | |
Barbara S Searle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3603 E Jefferson Blvd, Suiteb, South Bend, IN 46615 Phone: 574-237-1003 Fax: 574-237-1006 | |
Dr. George Gilbert Moss, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22057 Sandybrook Dr, South Bend, IN 46628 Phone: 574-514-4302 | |
Nicole Gebadlo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075 | |
Vaughn Thomas Mawhinney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 828 E Colfax Ave, South Bend, IN 46617 Phone: 574-251-1531 Fax: 574-234-5710 | |
Joann Michelle Jackson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652 | |
Jack Garden, HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131 |