Individual
J. RANDOLPH BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
18 KINGS HWY S, WESTPORT, CT 06880-4710
(203) 227-7199
Mailing address
18 KINGS HWY S, WESTPORT, CT 06880-4710
(203) 227-7199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1376
MI
103TC0700X
Clinical Psychologist
464
CT
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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