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NPI Code Detail

MEDICARE: SYDNEI BURLEY

MEDICARE: SYDNEI BURLEY
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1629687983
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEI BURLEY
Provider Business Mailing Address
First Line : 3100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2508
Country : US
Telephone Number : 216-361-7760
Fax Number :
Provider Business Practice Location Address
First Line : 14201 SOUTHINGTON RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-2703
Country : US
Telephone Number : 216-361-7760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 07/23/2020

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Directions to “ SYDNEI BURLEY ” Practice Location

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