Individual
DR. AUDREY FRANCES BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
608 PEDEN ST, HOUSTON, TX 77006-1424
(713) 377-8657
Mailing address
608 PEDEN ST, HOUSTON, TX 77006-1424
(713) 377-8657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87237A
BCBS PROVIDER I.D. NUMBER
TX
Enumeration date
08/19/2006
Last updated
05/26/2009
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