Burda, Terrie
Burda, Terrie is an sole proprietor health care provider with primary practice located at Westborough State Hospital Lyman Street, Westborough MA 01581. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burda, Terrie can be contacted via phone (508) 429-0852.Contact Information
Primary practice address
Westborough State Hospital Lyman Street
Westborough MA 01581
Phone: (508) 429-0852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6415 | Massachusetts |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 6415 | Massachusetts |
Profile Details
| NPI number | 1245395888 |
|---|---|
| LBN Legal business name | Burda, Terrie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245395888 | NPPES |
| Massachusetts | MEDICAID | 0523763 |
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