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Contact Information

LEO J BURKE III PSYD PC
7611 MAPLE ST
SUITE B3
NEW ORLEANS, LA70118-5068
 Phone: 215-805-9445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEO J BURKE III PSYD PC · (Female)

NPI Number 1669924189
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2016
Last updated 11/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 1375
  • LA License # 304056
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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