Individual
DR. DAVID THOMAS BURGGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11 BACK RD, PLEASANT POINT, ME 04667-4119
(207) 853-0644
(207) 853-1630
Mailing address
16 RIDGE RD, CHARLOTTE, ME 04666
(207) 454-2771
(207) 454-2771
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000671
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006183
—
VT
01
—
38071
BLUE CROSS BLUE SHIELD
VT
Enumeration date
09/22/2006
Last updated
10/18/2012
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