# KATIE BURDICK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306389424
- **Authorized official:** KATHERINE BURDICK LMFT (OWNER)
- **Authorized official phone:** (860) 748-5441

## Contact information

- **Practice address:** 642 HILLIARD ST STE 1302, MANCHESTER, CT 06042-2705
- **Practice address phone:** (860) 748-5441
- **Practice address fax:** (860) 812-2442
- **Mailing address:** 642 HILLIARD ST STE 1302, MANCHESTER, CT 06042-2705
- **Mailing address phone:** (860) 748-5441
- **Mailing address fax:** (860) 812-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1537 | CT | Yes |

## Other

- **Enumeration date:** 11/21/2016
- **Last updated:** 09/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008069258 | — | CT |