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Individual

DR. REBECCA LAUREN BURNHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
1 MED CENTER DR, CLARKSBURG, WV 26301-4155
(304) 623-3461

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS018019
PA
103TC0700X
Clinical Psychologist
PS018019
PA
103TC1900X
Counseling Psychologist
Primary
PS018019
PA

Other

Enumeration date
02/24/2016
Last updated
02/25/2016
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