Individual
DR. JEAN A BURNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
75 PROSPECT ST, SUITE 116, HUNTINGTON, NY 11743-3382
(631) 219-5670
Mailing address
75 PROSPECT ST, SUITE 116, HUNTINGTON, NY 11743-3382
(631) 219-5670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0200082-1
NY
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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