MEDICARE: NINA MARIE BURLEIGH

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	103TS0200X	School Psychologist	1001513320	MD

General Provider Information

NPI Number	:	1831065424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA MARIE BURLEIGH

Provider Business Mailing Address
First Line	:	8909 RIGGS RD
Second Line	:
City	:	ADELPHI
State	:	MD
Zip	:	20783-1633
Country	:	US
Telephone Number	:	301-431-5650
Fax Number	:	301-431-5606

Provider Business Practice Location Address
First Line	:	8909 RIGGS RD
Second Line	:
City	:	ADELPHI
State	:	MD
Zip	:	20783-1633
Country	:	US
Telephone Number	:	301-431-5650
Fax Number	:	301-431-5606

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

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	12/02/2025

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Directions to “ NINA MARIE BURLEIGH ” Practice Location

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