Randy Scott Burke in Brandon - Addiction (substance Use Disorder)
Randy Scott Burke - NPI 1336173905
Randy Scott Burke is a Addiction (substance Use Disorder) in Brandon, Mississippi. Randy Scott Burke practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Randy Scott Burke is 1336173905. The last update date is 2007-07-08.
Randy Scott Burke's current location address is 409 Provision Pkwy, Brandon, Mississippi. You can contact this provider via phone number 6013624471 and fax number 6013641298. The mailing address for Randy Scott Burke is 409 Provision Pkwy, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Scott Burke |
|---|---|
| Address | 409 Provision Pkwy, Brandon, Mississippi |
| Phone Number | 6013624471 |
| Fax Number | 6013641298 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336173905 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 409 Provision Pkwy |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390427909 |
| Phone Number | 6013624471 |
| Fax Number | 6013641298 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | 40-13 |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randy Scott Burke by the Centers for Medicare & Medicaid Services?
The Randy Scott Burke has been issued the NPI (National Provider Identifier) 1336173905, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Randy Scott Burke's facilities are geographically located?
The facilities of Randy Scott Burke are physically situated at the following location: 409 Provision Pkwy, Brandon, MS, 390427909.
What is Randy Scott Burke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randy Scott Burke is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 103Ta0400X.
On what date did the Randy Scott Burke receive the assignment of its 1336173905 from the Centers for Medicare & Medicaid Services?
The Randy Scott Burke was issued its 1336173905 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the Randy Scott Burke's information last updated?
The Randy Scott Burke's information was last updated on 2007-07-08.