Burnham, J. Randolph
Burnham, J. Randolph is an sole proprietor health care provider with primary practice located at 18 Kings Hwy S , Westport CT 06880-4710. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Burnham, J. Randolph can be contacted via phone (203) 227-7199.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1376 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 464 | Connecticut |
Profile Details
| NPI number | 1417005554 |
|---|---|
| LBN Legal business name | Burnham, J. Randolph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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