Individual
MARSHAREE' BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 TROUP ST, CATHOLIC FAMILY CENTER, ROCHESTER, NY 14608-2053
(585) 336-9034
(585) 423-2201
Mailing address
55 TROUP ST, CATHOLIC FAMILY CENTER, ROCHESTER, NY 14608-2053
(585) 336-9034
(585) 423-2201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
324889-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
324889-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324889-1
—
NY
Enumeration date
04/23/2017
Last updated
04/23/2017
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