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General NPI Number Information
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NPI Number | 1033326459
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Entity Type | Individual
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Provider Name | CLYDE R BURCH PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 931 HARTZ WAY SUITE 130
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City | DANVILLE
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State | CA
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Zip | 94526-3465
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Country | US
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Telephone | 925-837-5575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5015
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City | SAN RAMON
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State | CA
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Zip | 94583-0915
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Country | US
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Telephone | 925-837-5575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | PSY13655
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PSY13655
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License Number State | CA
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