Individual
DR. JOHN W BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
255 LINDEN ST, SUITE 202, FORT COLLINS, CO 80524-4435
(970) 482-4334
(970) 407-1339
Mailing address
255 LINDEN ST, SUITE 202, FORT COLLINS, CO 80524-4435
(970) 482-4334
(970) 407-1339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07020555
—
CO
Enumeration date
09/13/2006
Last updated
07/08/2007
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