# MICHELLE DIANNE BURCHYETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205957966
- **Gender:** F
- **Credential:** LMLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 907 | KS | — |
| 103T00000X | Psychologist | LCP 1442 | KS | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200450480A | — | KS |