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Individual

DR. ALLEN BURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6025 BROOKVALE LN, SUITE 205, KNOXVILLE, TN 37919-4031
(865) 766-0075
Mailing address
6025 BROOKVALE LN, SUITE 205, KNOXVILLE, TN 37919-4031
(865) 766-0075

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1567
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3684462
TN
Enumeration date
08/14/2006
Last updated
07/08/2007
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