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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

NPI # 1669924189
LBN Legal business name LEO J BURKE III PSYD PC
Authorized official LEO BURKE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2016
Last updated 11/01/2016 - About 10 years ago
Identifiers
LA License # 1375
LA License # 304056
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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