Jennifer R Burgess in Fort Worth - Psychologist
Jennifer R Burgess - NPI 1245369503
Jennifer R Burgess is a Psychologist in Fort Worth, Texas. Jennifer R Burgess practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jennifer R Burgess is 1245369503. The last update date is 2013-05-14.
Jennifer R Burgess's current location address is 6612 N Riverside Dr, Fort Worth, Texas. You can contact this provider via phone number 8175594045 and fax number 8558110590. The mailing address for Jennifer R Burgess is 6612 N Riverside Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer R Burgess |
|---|---|
| Address | 6612 N Riverside Dr, Fort Worth, Texas |
| Phone Number | 8175594045 |
| Fax Number | 8558110590 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1245369503 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2013-05-14 |
Provider Mailing Address Detail
| Address | 6612 N Riverside Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761376663 |
| Phone Number | 8175594045 |
| Fax Number | 8558110590 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 32262 |
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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 Jennifer R Burgess by the Centers for Medicare & Medicaid Services?
The Jennifer R Burgess has been issued the NPI (National Provider Identifier) 1245369503, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer R Burgess is located?
The Jennifer R Burgess is situated at the following address: 6612 N Riverside Dr, Fort Worth, TX, 761376663.
What is Jennifer R Burgess's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jennifer R Burgess's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date was the 1245369503 assigned to Jennifer R Burgess?
The Jennifer R Burgess was issued its 1245369503 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jennifer R Burgess most recently updated or refreshed?
The details pertaining to the Jennifer R Burgess, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-14.
NPI Number: 1215930425
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