Doctor Name: | DR. CRAIG DOUGLAS BURNS |
NPI Number: | 1023080587 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 8428 |
Business Practice Address: | 382 Washington St Brookline, MA - 024456852 |
Business Phone Number: | 6174475572 |
Business Fax Number: | |
Mailing Address: | 169 High Rock St, NEEDHAM |
State: | MA |
Postal Code: | 024922812 |
Phone Number: | 6174475572 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 8428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |