Dr Emily Sarah Burris, PHD is a
Psychologist - Clinical based in Benton Harbor, Michigan. Dr Emily Sarah Burris is licensed to practice in Michigan (license number 6301018775) and her current practice location is
115 W Main St, Benton Harbor, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 934-9123.
NPI number for Dr Emily Sarah Burris is 1174941918 and her current mailing address is 8467 Pucker St, Berrien Center, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174941918.
Healthcare Provider's Profile
| Full Name | Dr Emily Sarah Burris |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 115 W Main St, Benton Harbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174941918
- Provider Enumeration Date: 03/30/2014
- Last Update Date: 08/24/2022
Medical Identifiers
Medical identifiers for Dr Emily Sarah Burris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174941918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 651 (Wyoming) | Secondary |
| 103TC0700X | Psychologist - Clinical | 20043500B (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301018775 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Emily Sarah Burris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Emily Sarah Burris, PHD
8467 Pucker St,
Berrien Center, MI 49102-9718
Ph: (419) 819-0470 | Dr Emily Sarah Burris, PHD
115 W Main St,
Benton Harbor, MI 49022-3663
Ph: (269) 934-9123 |
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