Shirley Gordon Burnside in Elmhurst - Marriage & Family Therapist
Shirley Gordon Burnside - NPI 1528181419
Shirley Gordon Burnside is a Marriage & Family Therapist in Elmhurst, Illinois. Shirley Gordon Burnside practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Shirley Gordon Burnside is 1528181419. The last update date is 2007-07-08.
Shirley Gordon Burnside's current location address is 371 N. Ridgeland, Elmhurst, Illinois. You can contact this provider via phone number 6399419123. The mailing address for Shirley Gordon Burnside is 371 N. Ridgeland, Elmhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Gordon Burnside |
|---|---|
| Address | 371 N. Ridgeland, Elmhurst, Illinois |
| Phone Number | 6399419123 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528181419 |
|---|---|
| Provider Enumeration Date | 2007-04-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 371 N. Ridgeland |
|---|---|
| City | Elmhurst |
| State | Illinois (IL) |
| Post Code | 60126 |
| Phone Number | 6399419123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identification code assigned to Shirley Gordon Burnside by the Centers for Medicare & Medicaid Services?
The Shirley Gordon Burnside has been issued the NPI (National Provider Identifier) 1528181419. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shirley Gordon Burnside's facilities are situated?
The facilities of Shirley Gordon Burnside are physically located at the following address: 371 N. Ridgeland, Elmhurst, IL, 60126.
What is the Shirley Gordon Burnside's specialty and taxonomy code?
The Shirley Gordon Burnside's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528181419 to Shirley Gordon Burnside?
The Centers for Medicare & Medicaid Services originally issued the 1528181419 to Shirley Gordon Burnside on 2007-04-07.
When was the information related to Shirley Gordon Burnside most recently updated or refreshed?
The details pertaining to the Shirley Gordon Burnside, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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