Susan Dickey Burleson in Hartford - Clinical
Susan Dickey Burleson - NPI 1912101692
Susan Dickey Burleson is a Clinical in Hartford, Connecticut. Susan Dickey Burleson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Dickey Burleson is 1912101692. The last update date is 2012-03-06.
Susan Dickey Burleson's current location address is 639 Prospect Ave, Hartford, Connecticut. You can contact this provider via phone number 8609300021. The mailing address for Susan Dickey Burleson is 639 Prospect Ave, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Dickey Burleson |
|---|---|
| Address | 639 Prospect Ave, Hartford, Connecticut |
| Phone Number | 8609300021 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1912101692 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2012-03-06 |
Provider Mailing Address Detail
| Address | 639 Prospect Ave |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61054276 |
| Phone Number | 8609300021 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2083 |
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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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What is the unique identifier code issued to Susan Dickey Burleson by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Dickey Burleson has been assigned the NPI (National Provider Identifier) 1912101692. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Susan Dickey Burleson located?
The Susan Dickey Burleson is located at 639 Prospect Ave, Hartford, CT 61054276.
What is Susan Dickey Burleson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Dickey Burleson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Susan Dickey Burleson receive its 1912101692?
The Susan Dickey Burleson was issued its 1912101692 on 2007-06-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Susan Dickey Burleson most recently updated?
The details pertaining to the Susan Dickey Burleson, including its address, specialty, and other relevant information, were last refreshed on 2012-03-06.