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
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
Provider Enumeration Date 2005-11-04
Last Updated Date 2023-06-30

Provider Mailing Address Detail

Address 1201 5th Ave N
City St Petersburg
State Florida (FL)
Post Code 337051400
Phone Number 7278210017
Fax Number 7278227473

Provider's Primary Taxonomy Detail

Speciality Psychologist
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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FAQs about Patricia Polk Burkett

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.

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