ELIZABETH ANN LEEBERG PH.D.
NPI 1619075876
Psychologist - Clinical in Bend, OR

Q: What is Elizabeth Leeberg's NPI number?

The NPI number for Elizabeth Leeberg is 1619075876. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Elizabeth Leeberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Leeberg was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006

223 SE DAVIS AVE, BEND, OR 97702(541) 318-7023(541) 318-0252 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Elizabeth Ann Leeberg Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANN LEEBERG PH.D. (NPI 1619075876) is an individual clinical provider in Bend, Oregon, licensed in Oregon (1048) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1619075876

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELIZABETH ANN LEEBERGCredential: PH.D.

Location Address223 SE DAVIS AVEBend, OR 97702-1333

Mailing Address223 Se Davis AveBend, OR 97702-1333 · (541) 318-7023 · Fax (541) 318-0252

Phone(541) 318-7023

Fax(541) 318-0252

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateOctober 29, 2008

✔ NPI 1619075876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1048

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

223 SE DAVIS AVE, Bend, OR 97702

Open in Google Maps ↗

Other Identifiers 1

Medicare PINR106970OR

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA BANK FOREST L.C.S.W.

Social Worker (Clinical)