Kenneth Burlingame in Severna Park - Psychologist
Kenneth Burlingame - NPI 1578591400
Kenneth Burlingame is a Psychologist in Severna Park, Maryland. Kenneth Burlingame practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenneth Burlingame is 1578591400. The last update date is 2007-07-08.
Kenneth Burlingame's current location address is 650 Ritchie Hwy, Severna Park, Maryland. You can contact this provider via phone number 4103159352. The mailing address for Kenneth Burlingame is 650 Ritchie Hwy, Severna Park, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Burlingame |
|---|---|
| Address | 650 Ritchie Hwy, Severna Park, Maryland |
| Phone Number | 4103159352 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578591400 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 650 Ritchie Hwy |
|---|---|
| City | Severna Park |
| State | Maryland (MD) |
| Post Code | 2114639160 |
| Phone Number | 4103159352 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1785 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Kenneth Burlingame by the Centers for Medicare & Medicaid Services?
The Kenneth Burlingame has been issued the NPI (National Provider Identifier) 1578591400, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth Burlingame's facilities are geographically located?
The facilities of Kenneth Burlingame are physically situated at the following location: 650 Ritchie Hwy, Severna Park, MD, 2114639160.
What is Kenneth Burlingame's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Burlingame is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578591400 to Kenneth Burlingame?
The Kenneth Burlingame received its 1578591400 assignment from the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date were the details related to Kenneth Burlingame most recently updated or revised?
The information pertaining to Kenneth Burlingame, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.