MR. LEROY OTTO EGENBERGER MA
NPI 1922082726
Counselor - Mental Health in Modesto, CA
About Mr. Leroy Otto Egenberger Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LEROY OTTO EGENBERGER MA (NPI 1922082726) is an individual mental health provider in Modesto, California, licensed in California (MFC21358) and active in the NPI registry since December 2005.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MODESTO, CA 95350
MODESTO, CA 95350
MODESTO, CA 95350
MODESTO, CA 95350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922082726, enumerated as an "individual" on December 05, 2005.
The provider is located at 1101 STANDIFORD AVE SUITE B-2 MODESTO, CA 95350 and the phone number is (209) 522-5035.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.