Kathleen R. Burke in Lexington - Clinical Child & Adolescent

Kathleen R. Burke - NPI 1407904543

Kathleen R. Burke is a Clinical Child & Adolescent in Lexington, Massachusetts. Kathleen R. Burke practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kathleen R. Burke is 1407904543. The last update date is 2008-12-01.

Kathleen R. Burke's current location address is 4 Militia Dr, Lexington, Massachusetts. You can contact this provider via phone number 7818619797 and fax number 7818619797. The mailing address for Kathleen R. Burke is 4 Militia Dr, Lexington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen R. Burke
Address 4 Militia Dr, Lexington, Massachusetts
Phone Number 7818619797
Fax Number 7818619797
Sole Proprietor Y
Credentials PHD, RN, C

NPI Number Detail

NPI Number 1407904543
Provider Enumeration Date 2007-01-08
Last Updated Date 2008-12-01

Provider Mailing Address Detail

Address 4 Militia Dr
City Lexington
State Massachusetts (MA)
Post Code 24214737
Phone Number 7818619797
Fax Number 7818619797

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6858
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
212553000 MA MBC
W05424 MA BC & BS

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FAQs about Kathleen R. Burke

What is the unique 10-digit identification code issued to Kathleen R. Burke by the Centers for Medicare & Medicaid Services?

The Kathleen R. Burke has been assigned the NPI (National Provider Identifier) 1407904543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kathleen R. Burke's facilities are geographically located?

The facilities of Kathleen R. Burke are physically situated at the following location: 4 Militia Dr, Lexington, MA, 24214737.

What is the Kathleen R. Burke's area of specialization and corresponding taxonomy classification?

The Kathleen R. Burke's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.

When did Kathleen R. Burke receive its 1407904543 assignment?

The Kathleen R. Burke was assigned its 1407904543 on 2007-01-08, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Kathleen R. Burke most recently updated or revised?

The details related to Kathleen R. Burke, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-01.

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