Doctor Name: | GREGORY BURNS |
NPI Number: | 1023242898 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 271 |
Business Practice Address: | 2475 E Broadway St Helena, MT - 596014928 |
Business Phone Number: | 4064442288 |
Business Fax Number: | 4064442163 |
Mailing Address: | 2475 E Broadway St, HELENA |
State: | MT |
Postal Code: | 596014928 |
Phone Number: | 4064442288 |
Fax Number: | 4064442163 |
NPI Enumeration Date: | 05/08/2009 |
NPI Last Update Date: | 05/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 271 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |