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 |
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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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