Jennifer Lynn Burden in Salem - Addiction (substance Use Disorder)
Jennifer Lynn Burden - NPI 1063479558
Jennifer Lynn Burden is a Addiction (substance Use Disorder) in Salem, Virginia. Jennifer Lynn Burden practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer Lynn Burden is 1063479558. The last update date is 2011-02-16.
Jennifer Lynn Burden's current location address is 1970 Roanoke Blvd, Salem, Virginia. You can contact this provider via phone number 5409822463 and fax number 5408555015. The mailing address for Jennifer Lynn Burden is 1970 Roanoke Blvd, Salem, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Burden |
|---|---|
| Address | 1970 Roanoke Blvd, Salem, Virginia |
| Phone Number | 5409822463 |
| Fax Number | 5408555015 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1063479558 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
| Address | 1970 Roanoke Blvd |
|---|---|
| City | Salem |
| State | Virginia (VA) |
| Post Code | 241536404 |
| Phone Number | 5409822463 |
| Fax Number | 5408555015 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | 810003282 |
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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 |
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What is the unique 10-digit identifier code assigned to Jennifer Lynn Burden by the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Burden has been issued the NPI (National Provider Identifier) 1063479558 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jennifer Lynn Burden located?
The Jennifer Lynn Burden is located at 1970 Roanoke Blvd, Salem, VA 241536404.
What is Jennifer Lynn Burden's area of expertise and its corresponding taxonomy classification?
The Jennifer Lynn Burden's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 103Ta0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1063479558 to Jennifer Lynn Burden?
The Centers for Medicare & Medicaid Services assigned the 1063479558 to Jennifer Lynn Burden on 2006-04-27.
As of what date were the details pertaining to Jennifer Lynn Burden last refreshed?
The information related to the Jennifer Lynn Burden, including its address, specialty, and other relevant details, was last updated on 2011-02-16.
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