Patricia Polk Burkett in St Petersburg - Psychologist
Patricia Polk Burkett - NPI 1720079932
Patricia Polk Burkett is a Psychologist in St Petersburg, Florida. Patricia Polk Burkett practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patricia Polk Burkett is 1720079932. The last update date is 2023-06-30.
Patricia Polk Burkett's current location address is 1201 5th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7278210017 and fax number 7278227473. The mailing address for Patricia Polk Burkett is 1201 5th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patricia Polk Burkett |
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Address | 1201 5th Ave N, St Petersburg, Florida |
Phone Number | 7278210017 |
Fax Number | 7278227473 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1720079932 |
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Provider Enumeration Date | 2005-11-04 |
Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
Address | 1201 5th Ave N |
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City | St Petersburg |
State | Florida (FL) |
Post Code | 337051400 |
Phone Number | 7278210017 |
Fax Number | 7278227473 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PY4694 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
254016941 | FL | -- |
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What is the unique identification code assigned to Patricia Polk Burkett by the Centers for Medicare & Medicaid Services?
The Patricia Polk Burkett has been issued the NPI (National Provider Identifier) 1720079932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patricia Polk Burkett located?
The Patricia Polk Burkett is located at 1201 5Th Ave N, St Petersburg, FL 337051400.
What is Patricia Polk Burkett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Polk Burkett's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date was the 1720079932 assigned to Patricia Polk Burkett?
The Patricia Polk Burkett was issued its 1720079932 on 2005-11-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Patricia Polk Burkett's information last updated?
The Patricia Polk Burkett's information was last updated on 2023-06-30.