| Burgess Psychotherapy, Llc | |
|
2 Corporate Dr Ste 211 Trumbull CT 06611-1376 | |
| (203) 815-8960 | |
| Not Available |
| Full Name | Burgess Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2 Corporate Dr Ste 211, Trumbull, Connecticut |
| Authorized Official Name and Position | Susan Burgess (OWNER) |
| Authorized Official Contact | 2038158960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgess Psychotherapy, Llc 40 Thimble Island Rd Branford CT 06405-5721 Ph: () - | Burgess Psychotherapy, Llc 2 Corporate Dr Ste 211 Trumbull CT 06611-1376 Ph: (203) 815-8960 |
| NPI Number | 1699315515 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699315515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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