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Search › California › 101YM0800X

Leroy Egenberger, MA

NPI 1922082726 · on the registry since 2005 · sole proprietor

Practice

Address
1101 Standiford Ave
Suite B-2
Modesto, CA 95350
Phone
(209) 522-5035
Fax
(209) 522-5134
Organisation at this address
Serenity Group, Llc
A Nd T Hope 4 Change
Fred P. Guarcello, Od
My Teen Mental Health Llc
Blake D. Alexander, Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
119

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California