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Individual

DR. OLGA BURMENKO-GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 SW 6TH ST, STUART, FL 34994-2916
(772) 781-7644
(772) 781-7219
Mailing address
201 SW 6TH ST, STUART, FL 34994-2916
(772) 781-7644
(772) 781-7219

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
FL PY 0005461
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11380126
CAQH
FL
01
59886
BCBS PPO
01
FL PY 0005461
FL PSYCHOLOGIST
FL
Enumeration date
08/08/2006
Last updated
07/08/2007
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