Organization
KATIE BURDICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE BURDICK LMFT (OWNER)
(860) 748-5441
Entity
Organization
Contact information
Practice address
642 HILLIARD ST STE 1302, MANCHESTER, CT 06042-2705
(860) 748-5441
(860) 812-2442
Mailing address
642 HILLIARD ST STE 1302, MANCHESTER, CT 06042-2705
(860) 748-5441
(860) 812-2442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008069258
—
CT
Enumeration date
11/21/2016
Last updated
09/21/2018
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