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1134218050

NPI Code Detail

MEDICARE: BRITTANY ELIZABETH BURCHFIELD PHD

MEDICARE: BRITTANY ELIZABETH BURCHFIELD PHD

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	103TC0700X	Clinical Psychologist	PSY002898	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	202I689748	OTHER	GA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134218050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ELIZABETH BURCHFIELD PHD

Provider Business Mailing Address
First Line	:	2711 IRVIN WAY STE 211
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1724
Country	:	US
Telephone Number	:	404-501-0001
Fax Number	:	404-501-0023

Provider Business Practice Location Address
First Line	:	2711 IRVIN WAY STE 211
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1724
Country	:	US
Telephone Number	:	404-501-0001
Fax Number	:	404-501-0023

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	12/26/2013

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Directions to “ BRITTANY ELIZABETH BURCHFIELD PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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