Dr Gary M Burlingame, PHD is a
Psychologist - Clinical based in Highland, Utah. Dr Gary M Burlingame is licensed to practice in Utah (license number 112948-2501) and his current practice location is
11085 Yarrow Cir, Highland, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 422-7557.
NPI number for Dr Gary M Burlingame is 1912124850 and his current mailing address is 1190 North 900 East, 239 Tlrb: Byu Comprehensive Clinic, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912124850.
Healthcare Provider's Profile
Full Name | Dr Gary M Burlingame |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 11085 Yarrow Cir, Highland, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912124850
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gary M Burlingame such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912124850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 112948-2501 (Utah) | 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 Gary M Burlingame 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 Gary M Burlingame, PHD 1190 North 900 East, 239 Tlrb: Byu Comprehensive Clinic, Provo, UT 84602 Ph: (801) 422-7557 | Dr Gary M Burlingame, PHD 11085 Yarrow Cir, Highland, UT 84003-9598 Ph: (801) 422-7557 |
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