Gary M Burlingame is a Clinical in Provo, Utah. Gary M Burlingame practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary M Burlingame is 1912124850. The last update date is 2007-07-08.
Gary M Burlingame's current location address is 1190 North 900 East, Provo, Utah. You can contact this provider via phone number 8014227557. The mailing address for Gary M Burlingame is 1190 North 900 East, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Burlingame |
|---|---|
| Address | 1190 North 900 East, Provo, Utah |
| Phone Number | 8014227557 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912124850 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1190 North 900 East |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84602 |
| Phone Number | 8014227557 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 112948-2501 |
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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 identification code issued to Gary M Burlingame by the Centers for Medicare & Medicaid Services?
The Gary M Burlingame has been assigned the NPI (National Provider Identifier) 1912124850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Gary M Burlingame is physically located?
The Gary M Burlingame is situated at the following address: 1190 North 900 East, Provo, UT 84602.
What is the Gary M Burlingame's specialty and taxonomy code?
The Gary M Burlingame's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Gary M Burlingame receive its 1912124850?
The Gary M Burlingame was issued its 1912124850 on 2007-04-20, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gary M Burlingame most recently updated or revised?
The details related to Gary M Burlingame, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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