Burleson, Susan Dickey

Burleson, Susan Dickey is an sole proprietor health care provider with primary practice located at 639 Prospect Ave , Hartford CT 06105-4276. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burleson, Susan Dickey can be contacted via phone (860) 930-0021.

Contact Information

Primary practice address
639 Prospect Ave Hartford CT 06105-4276
Phone: (860) 930-0021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2083 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4961 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 003157 Connecticut

Profile Details

NPI number 1912101692
LBN Legal business name Burleson, Susan Dickey
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Mar 6th, 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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