Kristen Alexa Burnett in Plymouth - Clinical
Kristen Alexa Burnett - NPI 1699823237
Kristen Alexa Burnett is a Clinical in Plymouth, Minnesota. Kristen Alexa Burnett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristen Alexa Burnett is 1699823237. The last update date is 2007-07-08.
Kristen Alexa Burnett's current location address is 11505 36th Ave N, Plymouth, Minnesota. You can contact this provider via phone number 7635093818 and fax number 7635590149. The mailing address for Kristen Alexa Burnett is 11505 36th Ave N, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen Alexa Burnett |
|---|---|
| Address | 11505 36th Ave N, Plymouth, Minnesota |
| Phone Number | 7635093818 |
| Fax Number | 7635590149 |
| Sole Proprietor | N |
| Credentials | PSY.D., LP |
NPI Number Detail
| NPI Number | 1699823237 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11505 36th Ave N |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554412304 |
| Phone Number | 7635093818 |
| Fax Number | 7635590149 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4651 |
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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 10-digit identifier code issued to Kristen Alexa Burnett by the Centers for Medicare & Medicaid Services?
The Kristen Alexa Burnett has been assigned the NPI (National Provider Identifier) 1699823237 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kristen Alexa Burnett is physically located?
The Kristen Alexa Burnett is physically situated at the following address: 11505 36Th Ave N, Plymouth, MN, 554412304.
What is the Kristen Alexa Burnett's specialty and taxonomy code?
The Kristen Alexa Burnett's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Kristen Alexa Burnett receive the assignment of its 1699823237 from the Centers for Medicare & Medicaid Services?
The Kristen Alexa Burnett was issued its 1699823237 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information regarding Kristen Alexa Burnett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kristen Alexa Burnett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.