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NPI Code Detail

MEDICARE: MS. KRISTEN MILLER BURTON M.A.

MEDICARE:  MS. KRISTEN MILLER BURTON  M.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
1103TS0200XSchool PsychologistLEP3408CA
2106H00000XMarriage & Family TherapistMFC47755CA

General Provider Information

NPI Number : 1346446978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTEN MILLER BURTON M.A.
Provider Business Mailing Address
First Line : 15871 SPRINGDALE ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1727
Country : US
Telephone Number : 310-383-1263
Fax Number :
Provider Business Practice Location Address
First Line : 19712 MACARTHUR BLVD STE 110
Second Line :
City : IRVINE
State : CA
Zip : 92612-2407
Country : US
Telephone Number : 310-383-1263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 01/26/2024

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Directions to “ MS. KRISTEN MILLER BURTON M.A.” Practice Location

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