Burdeshaw, Patricia

Burdeshaw, Patricia is an individual health care provider with primary practice located at 4572 Dressler Rd Nw , Canton OH 44718-2546. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Burdeshaw, Patricia can be contacted via phone (330) 493-4220.

Contact Information

Primary practice address
4572 Dressler Rd Nw Canton OH 44718-2546
Fax: (330) 493-8850
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C5440 Ohio

Profile Details

NPI number 1508929464
LBN Legal business name Burdeshaw, Patricia
Credentials M,ED., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 9th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508929464 NPPES
Ohio Other 000000130008 ANTHEM

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