Doctor Name: | LENNA NMN BURKINSHAW |
NPI Number: | 1013033182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 545 N Burk St Gilbert, AZ - 852343476 |
Business Phone Number: | 4809263816 |
Business Fax Number: | 4808138789 |
Mailing Address: | 545 N. Burk St., GILBERT |
State: | AZ |
Postal Code: | 85234 |
Phone Number: | 4809263816 |
Fax Number: | 4808138789 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |