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NPI Code Detail

MEDICARE: BRITTANY BURDICK PSY.D.

MEDICARE: BRITTANY BURDICK PSY.D.
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
1103TC0700XClinical PsychologistPSY-005565AZ

General Provider Information

NPI Number : 1467152116
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY BURDICK PSY.D.
Provider Business Mailing Address
First Line : 504 W 29TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85713-3353
Country : US
Telephone Number : 520-838-5600
Fax Number :
Provider Business Practice Location Address
First Line : 502 W 29TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85713-3394
Country : US
Telephone Number : 520-884-9920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2023
Last Update Date : 03/09/2023

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