Malcolm Roger Burdick in Cedar Hill - Clinical
Malcolm Roger Burdick - NPI 1023054343
Malcolm Roger Burdick is a Clinical in Cedar Hill, Texas. Malcolm Roger Burdick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Malcolm Roger Burdick is 1023054343. The last update date is 2007-07-08.
Malcolm Roger Burdick's current location address is 661 Brookside Dr, Cedar Hill, Texas. You can contact this provider via phone number 9722918368. The mailing address for Malcolm Roger Burdick is 661 Brookside Dr, Cedar Hill, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Roger Burdick |
|---|---|
| Address | 661 Brookside Dr, Cedar Hill, Texas |
| Phone Number | 9722918368 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023054343 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 661 Brookside Dr |
|---|---|
| City | Cedar Hill |
| State | Texas (TX) |
| Post Code | 751044710 |
| Phone Number | 9722918368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 22091 |
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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 |
|---|---|---|---|
| 86979A | TX | BLUE CROSS BLUE SHIELD | |
| 170349802 | TX | -- | |
| 170349803 | TX | -- | |
| 170349801 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Malcolm Roger Burdick by the Centers for Medicare & Medicaid Services?
The Malcolm Roger Burdick has been issued the NPI (National Provider Identifier) 1023054343 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 address where Malcolm Roger Burdick is geographically located?
The Malcolm Roger Burdick is physically situated at the following location: 661 Brookside Dr, Cedar Hill, TX, 751044710.
What is Malcolm Roger Burdick's area of expertise and its corresponding taxonomy classification?
The Malcolm Roger Burdick's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Malcolm Roger Burdick receive its 1023054343 assignment from the Centers for Medicare & Medicaid Services?
The Malcolm Roger Burdick was assigned its 1023054343 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the details pertaining to Malcolm Roger Burdick last refreshed?
The information related to the Malcolm Roger Burdick, including its address, specialty, and other relevant details, was last updated on 2007-07-08.