Individual
DR. CHARLES E BURBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1421 ROUTE 44, TIMOTHY PROFESSIONAL BUILDING, PLEASANT VALLEY, NY 12569-7832
(845) 635-3214
(845) 635-3214
Mailing address
80 KINGWOOD PARK, POUGHKEEPSIE, NY 12601-5448
(845) 635-3214
(845) 635-3214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006222
NY
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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