Individual
GREGORY BURNS
Active
Individual
GREGORY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
271
MT
103G00000X
Clinical Neuropsychologist
Primary
PY9803
FL
103TC2200X
Clinical Child & Adolescent Psychologist
271
MT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
271
MT
Other
Enumeration date
05/08/2009
Last updated
02/16/2017
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