Individual
ELIZABETH ANN LEEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
223 SE DAVIS AVE, BEND, OR 97702-1333
(541) 318-7023
(541) 318-0252
Mailing address
223 SE DAVIS AVE, BEND, OR 97702-1333
(541) 318-7023
(541) 318-0252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1048
OR
Other
Enumeration date
09/20/2006
Last updated
10/29/2008
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