| Doctor Name: | DR. COLIN MATTHEW BURCHFIELD |
| NPI Number: | 1376695940 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1420 |
| Business Practice Address: | 4881 Sugar Maple Dr Wpafb, OH - 454335529 |
| Business Phone Number: | 9372576877 |
| Business Fax Number: | |
| Mailing Address: | 5105 Worchester Dr, RIVERSIDE |
| State: | OH |
| Postal Code: | 454311169 |
| Phone Number: | 9373044201 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |