Burrell, Larry Edwin
Burrell, Larry Edwin is an individual health care provider with primary practice located at 150 Muir Rd Dept 116 , Martinez CA 94553-4668. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Burrell, Larry Edwin can be contacted via phone (925) 372-2599.Contact Information
Primary practice address
150 Muir Rd Dept 116
Martinez CA 94553-4668
Phone: (925) 372-2599
Fax: (925) 372-2804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY31449 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY31449 | California |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY31449 | California |
Behavioral Health & Social Service Providers / Health | 103TH0004X | PSY31449 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY31449 | California |
Profile Details
NPI number | 1063046225 |
---|---|
LBN Legal business name | Burrell, Larry Edwin |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2020 |
Last updated | Feb 26th, 2020 - about 4 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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