Burgess, Jennifer R
Burgess, Jennifer R is an sole proprietor health care provider with primary practice located at 6612 N Riverside Dr Suite 130, Fort Worth TX 76137-6663. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Burgess, Jennifer R can be contacted via phone (817) 559-4045.Contact Information
Primary practice address
6612 N Riverside Dr Suite 130
Fort Worth TX 76137-6663
Phone: (817) 559-4045
Fax: (855) 811-0590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 32262 | Texas |
Profile Details
| NPI number | 1245369503 |
|---|---|
| LBN Legal business name | Burgess, Jennifer R |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 14th, 2013 - about 11 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.
Popular Providers
-
Lembo, Vince L
5312 Trail Lake Dr , Fort Worth TX 76133-1931 -
Lacerda, David Anthony
1115 Pennsylvania Ave Ste B , Fort Worth TX 76104-2153 -
Hopewell, Clifford Alan
601 University Dr Ste 101 , Fort Worth TX 76107-2168 -
Bergs, Katherine Suzanne
3301 Stalcup Rd , Fort Worth TX 76119-1726 -
Hall, James R
855 Montgomery St , Fort Worth TX 76107-2553 -
Mclaughlin, James Truett
1400 8Th Ave # C6 Baylor All Saints Medical Center, Fort Worth TX 76104-4110 -
Ferguson, Helen B
3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277 -
O'Bryant, Sidney E
855 Montgomery St , Fort Worth TX 76107-2553