Leo Matthew Duggan III, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11407 Issued in CA

Practice address

4137 E 7TH St
Long Beach, CA 90804-5311

Phone

(562) 433-7652

Fax

(562) 433-8152

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Ihle and Associates, Inc.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1558808725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134250194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045311",
            "telephone_number": "562-433-7652",
            "fax_number": "562-433-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045311",
            "telephone_number": "562-433-7652",
            "fax_number": "562-433-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "LEO",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Duenas
• Duffy & Kang Psychology Inc.D/B/a Weaving Clarity (Weaving Clarity)
• Naomi Duffy, ACSW
• Jennifer Maness Dugan, PSY.D.
• Jerelyn Bernadette Dugas, MSW
• Shaun Dukes
• Annette Dulabay
• Danielle Nicole Dulan
• Charles Dulce
• Venelyn Acosta Duldulao

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.