Individual
ELIZABETH CHADWICK BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
220 BARTON BLVD UNIT C14, ROCKLEDGE, FL 32955-2742
(321) 639-5177
(321) 639-4927
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
019293
NY
103T00000X
Psychologist
Primary
PY9484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018211900
—
FL
05
—
LIZ6064
—
NY
Enumeration date
10/23/2012
Last updated
07/21/2022
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