| Barbara C Burt Psyd Llc | |
|
335 Foothills South Dr Sedona AZ 86336-5027 | |
| (619) 729-7791 | |
| (619) 764-4020 |
| Full Name | Barbara C Burt Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 335 Foothills South Dr, Sedona, Arizona |
| Authorized Official Name and Position | Barbara C Burt (PRESIDENT) |
| Authorized Official Contact | 6197297791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara C Burt Psyd Llc 335 Foothills South Dr Sedona AZ 86336-5027 Ph: (619) 729-7791 | Barbara C Burt Psyd Llc 335 Foothills South Dr Sedona AZ 86336-5027 Ph: (619) 729-7791 |
| NPI Number | 1740881341 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 11/02/2020 |
| Certification Date | 10/15/2020 |
| Medicare PECOS PAC ID | 8426469719 |
|---|---|
| Medicare Enrollment ID | O20201117001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740881341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Barbara Cummings Burt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407109861 PECOS PAC ID: 3870860489 Enrollment ID: I20201117001708 |
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