Individual
MS. MARTI S BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2501
(859) 233-9231
Mailing address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2501
(859) 233-9231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0094
KY
103T00000X
Psychologist
651
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/10/2007
Last updated
12/16/2014
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