National Provider Identifier
Jeannie S Burdick, M.A.CLINICAL PSYCH
Jeannie S Burdick, M.A.CLINICAL PSYCH is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Corfu, NY and a listed phone number of (585) 343-0055.
Profile Overview
- NPI
- 1902917933
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 8801 Boyce RD
- Corfu, NY 14036-9742
Phone: (585) 343-0055
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1902917933
- Entity Type
- Individual
- Last Name
- Burdick
- First Name
- Jeannie
- Middle Name
- S
- Name Prefix
- MS.
- Credential
- M.A.CLINICAL PSYCH
- Mailing Street Address
- 8801 Boyce RD
- Mailing City
- Corfu
- Mailing State
- NY
- Mailing ZIP Code
- 14036-9742
- Mailing Country
- US
- Mailing Phone
- (585) 343-0055
- Practice Street Address
- 8801 Boyce RD
- Practice City
- Corfu
- Practice State
- NY
- Practice ZIP Code
- 14036-9742
- Practice Country
- US
- Practice Phone
- (585) 343-0055
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 001111-1 (NY, Mental Health Counselor)