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Individual

MARK BUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
500 S BROAD ST, PHILADELPHIA, PA 19146-1613
(215) 206-0022
Mailing address
228 PLYMOUTH AVE, ORELAND, PA 19075-1706

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018305
PA

Other

Enumeration date
07/24/2017
Last updated
02/12/2019
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