Craig Douglas Burns in Needham - Clinical
Craig Douglas Burns - NPI 1023080587
Craig Douglas Burns is a Clinical in Needham, Massachusetts. Craig Douglas Burns practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig Douglas Burns is 1023080587. The last update date is 2007-07-09.
Craig Douglas Burns's current location address is 169 High Rock St, Needham, Massachusetts. You can contact this provider via phone number 6174475572. The mailing address for Craig Douglas Burns is 169 High Rock St, Needham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Douglas Burns |
|---|---|
| Address | 169 High Rock St, Needham, Massachusetts |
| Phone Number | 6174475572 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023080587 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 169 High Rock St |
|---|---|
| City | Needham |
| State | Massachusetts (MA) |
| Post Code | 24922812 |
| Phone Number | 6174475572 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8428 |
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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 |
|---|---|---|---|
| W06433 | MA | BLUE CROSS/BLUE SHIELD | |
| W10533 | MA | BLUE CROSS/BLUE SHIELD |
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What is the unique 10-digit identifier code assigned to Craig Douglas Burns by the Centers for Medicare & Medicaid Services?
The Craig Douglas Burns has been issued the NPI (National Provider Identifier) 1023080587 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Craig Douglas Burns's facilities are situated?
The facilities of Craig Douglas Burns are physically located at the following address: 169 High Rock St, Needham, MA, 24922812.
What is Craig Douglas Burns's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig Douglas Burns's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Craig Douglas Burns receive its 1023080587 assignment from the Centers for Medicare & Medicaid Services?
The Craig Douglas Burns was assigned its 1023080587 on 2006-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Craig Douglas Burns's details last updated?
The information pertaining to the Craig Douglas Burns, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1316940851
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