Individual
DR. RANDAL K BURLESON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 532-4112
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 532-4112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
570
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51502966BUR
FED BCBS
AL
Enumeration date
06/14/2006
Last updated
07/08/2007
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