Individual
BRENDA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CHELMSFORD CIR, NEWARK, DE 19713-2911
(302) 533-5172
Mailing address
2000 CHELMSFORD CIR, NEWARK, DE 19713-2911
(302) 533-5172
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250568423
—
DE
Enumeration date
10/07/2020
Last updated
10/07/2020
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