Doctor Name: | MR. ARTHUR HARRY BURRIS |
NPI Number: | 1124341482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LC0372 |
Business Practice Address: | 3105 Emmorton Rd Abingdon, MD - 210092582 |
Business Phone Number: | 4105695900 |
Business Fax Number: | 4105697751 |
Mailing Address: | 2804 Grier Nursery Rd, FOREST HILL |
State: | MD |
Postal Code: | 210501523 |
Phone Number: | 4104200304 |
Fax Number: | 4104200342 |
NPI Enumeration Date: | 03/01/2010 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC0372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |