Individual
JENNIFER LYNN BURDEN
Active
Individual
JENNIFER LYNN BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810003282
VA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0810003282
VA
103TC0700X
Clinical Psychologist
Primary
0810003282
VA
103TP2701X
Group Psychotherapy Psychologist
0810003282
VA
Other
Enumeration date
04/27/2006
Last updated
02/16/2011
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