Burkett, Patricia Polk
Burkett, Patricia Polk is an individual health care provider with primary practice located at 1201 5Th Ave N , St Petersburg FL 33705-1400. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Burkett, Patricia Polk can be contacted via phone (727) 821-0017.Contact Information
Primary practice address
1201 5Th Ave N
St Petersburg FL 33705-1400
Phone: (727) 821-0017
Fax: (727) 822-7473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY4694 | Florida |
Profile Details
| NPI number | 1720079932 |
|---|---|
| LBN Legal business name | Burkett, Patricia Polk |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jun 30th, 2023 - about 3 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 | 1720079932 | NPPES |
| Florida | MEDICAID | 254016941 |
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