Individual
DR. JENNIFER R BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6612 N RIVERSIDE DR, SUITE 130, FORT WORTH, TX 76137-6663
(817) 559-4045
(855) 811-0590
Mailing address
6612 N RIVERSIDE DR, SUITE 130, FORT WORTH, TX 76137-6663
(817) 559-4045
(855) 811-0590
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32262
TX
Other
Enumeration date
03/05/2007
Last updated
05/14/2013
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