Randal K Burleson in Huntsville - Clinical
Randal K Burleson - NPI 1063455194
Randal K Burleson is a Clinical in Huntsville, Alabama. Randal K Burleson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randal K Burleson is 1063455194. The last update date is 2007-07-08.
Randal K Burleson's current location address is 4040 Memorial Pkwy Sw, Huntsville, Alabama. You can contact this provider via phone number 2565331970 and fax number 2565324112. The mailing address for Randal K Burleson is 4040 Memorial Pkwy Sw, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal K Burleson |
|---|---|
| Address | 4040 Memorial Pkwy Sw, Huntsville, Alabama |
| Phone Number | 2565331970 |
| Fax Number | 2565324112 |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1063455194 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4040 Memorial Pkwy Sw |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358024364 |
| Phone Number | 2565331970 |
| Fax Number | 2565324112 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 570 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51502966BUR | AL | FED BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Randal K Burleson by the Centers for Medicare & Medicaid Services (CMS)?
The Randal K Burleson has been assigned the NPI (National Provider Identifier) 1063455194. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Randal K Burleson's facilities are geographically located?
The facilities of Randal K Burleson are physically situated at the following location: 4040 Memorial Pkwy Sw, Huntsville, AL, 358024364.
What is Randal K Burleson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randal K Burleson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063455194 to Randal K Burleson?
The Centers for Medicare & Medicaid Services originally issued the 1063455194 to Randal K Burleson on 2006-06-14.
As of what date was the information pertaining to Randal K Burleson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randal K Burleson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.