MEDICARE: GRACE BURTON LPC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC2200X	Clinical Child & Adolescent Psychologist	102540	TX

General Provider Information

NPI Number	:	1306778527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE BURTON LPC-A

Provider Business Mailing Address
First Line	:	210 NEWMAN RD
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-3437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8751 COLLIN MCKINNEY PKWY STE 401
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-1658
Country	:	US
Telephone Number	:	469-352-7491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ GRACE BURTON LPC-A” Practice Location

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