Individual
DR. GARY M BURLINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11085 YARROW CIR, HIGHLAND, UT 84003-9598
(801) 422-7557
Mailing address
1190 NORTH 900 EAST, 239 TLRB: BYU COMPREHENSIVE CLINIC, PROVO, UT 84602
(801) 422-7557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
112948-2501
UT
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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