| Doctor Name: | DAWN MARIE BURCH |
| NPI Number: | 1033418082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLP |
| License Number: | 6301014036 |
| Business Practice Address: | 461 W Huron St Pontiac, MI - 483411601 |
| Business Phone Number: | 2484561991 |
| Business Fax Number: | 2484568151 |
| Mailing Address: | 461 W Huron St, PONTIAC |
| State: | MI |
| Postal Code: | 483411601 |
| Phone Number: | 2484561991 |
| Fax Number: | 2484568151 |
| NPI Enumeration Date: | 03/16/2011 |
| NPI Last Update Date: | 11/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 6301014036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |