MEDICARE: STEPHANIE BURSTEIN LMFT

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	106H00000X	Marriage & Family Therapist	MT3372	FL

General Provider Information

NPI Number	:	1538682596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE BURSTEIN LMFT

Provider Business Mailing Address
First Line	:	250 ROYAL CT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3855
Country	:	US
Telephone Number	:	561-891-0018
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 ROYAL CT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3855
Country	:	US
Telephone Number	:	561-891-0018
Fax Number	:	561-891-0018

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

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	07/21/2017

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Directions to “ STEPHANIE BURSTEIN LMFT” Practice Location

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