| Bamburg Consulting, Inc. | |
|
106 N Bend Dr Pineville LA 71360-4677 | |
| (318) 442-4498 | |
| Not Available |
| Full Name | Bamburg Consulting, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 106 N Bend Dr, Pineville, Louisiana |
| Authorized Official Name and Position | Jerald Wayne Bamburg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3184424498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bamburg Consulting, Inc. 106 N Bend Dr Pineville LA 71360-4677 Ph: (318) 442-4498 | Bamburg Consulting, Inc. 106 N Bend Dr Pineville LA 71360-4677 Ph: (318) 442-4498 |
| NPI Number | 1083862353 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Medicare PECOS PAC ID | 7012084148 |
|---|---|
| Medicare Enrollment ID | O20080916000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083862353 | NPI | - | NPPES |
| Provider Name | Jerald W Bamburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598926644 PECOS PAC ID: 7113094244 Enrollment ID: I20080916000093 |
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