Individual
DR. SUSAN DICKEY BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
639 PROSPECT AVE, HARTFORD, CT 06105-4276
(860) 930-0021
Mailing address
66 LEMAY ST, WEST HARTFORD, CT 06107-3025
(201) 970-3644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003157
CT
103TC0700X
Clinical Psychologist
2083
NJ
103TC0700X
Clinical Psychologist
4961
NY
Other
Enumeration date
06/14/2007
Last updated
03/06/2012
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