Organization
BURGESS PSYCHOLOGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANNY BURGESS PH.D. (PRESIDENT)
(626) 441-6111
Entity
Organization
Contact information
Practice address
1910 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4812
(626) 441-6111
(626) 441-6389
Mailing address
1910 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4812
(626) 441-6111
(626) 441-6389
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY10843
CA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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