| Elizabeth Ann Leeberg, Ph.d., P.c. | |
|
223 Se Davis Ave Bend OR 97702-1333 | |
| (541) 318-7023 | |
| (541) 318-0252 |
| Full Name | Elizabeth Ann Leeberg, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 223 Se Davis Ave, Bend, Oregon |
| Authorized Official Name and Position | Elizabeth Ann Leeberg (PRESIDENT) |
| Authorized Official Contact | 5413187023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Leeberg, Ph.d., P.c. 223 Se Davis Ave Bend OR 97702-1333 Ph: (541) 318-7023 | Elizabeth Ann Leeberg, Ph.d., P.c. 223 Se Davis Ave Bend OR 97702-1333 Ph: (541) 318-7023 |
| NPI Number | 1972947075 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972947075 | NPI | - | NPPES |
| 1619075876 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1048 (Oregon) | Primary |
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