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 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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