Leo J Burke III PSYD PC

Organization Active NPI Prescribing (Medical) Psychologist · New Orleans, LA

NPI 1669924189 · NPPES record last updated Nov 1, 2016

Key facts

NPI
1669924189
Entity type
Organization (NPI type 2)
Primary specialty
Prescribing (Medical) Psychologist 103TP0016X
License
304056 (LA)
Legal business name
LEO J BURKE III PSYD PC
Practice address
7611 Maple St
Suite B3
New Orleans, LA 70118-5068
Phone
(215) 805-9445
NPI assigned
Nov 1, 2016
Organization subpart
No

Authorized official

Name
Dr. Leo Joseph Burke III, PSY.D.
Title
President
Phone
(215) 805-9445

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X 1375 LA
Clinical Child & Adolescent Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC2200X 1375 LA
Prescribing (Medical) Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TP0016X 304056 LA Yes

Addresses

Primary practice location

7611 Maple St
Suite B3
New Orleans, LA 70118-5068

Mailing address

1315 Walnut St
Suite 805
Philadelphia, PA 19107-4719
Phone (215) 805-9445

Other providers in New Orleans, LA

All providers in New Orleans, LA · Prescribing (Medical) Psychologist in Louisiana

Sources for this page

Verify at the official NPI Registry.