Burt, Jerome

Burt, Jerome is an individual health care provider with primary practice located at 222 22Nd Ave N , Nashville TN 37203. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Burt, Jerome can be contacted via phone (629) 255-2168.

Contact Information

Primary practice address
222 22Nd Ave N Nashville TN 37203
Phone: (629) 255-2168
Fax: (629) 255-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2496 Tennessee

Profile Details

NPI number 1891786364
LBN Legal business name Burt, Jerome
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 28th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891786364 NPPES
Tennessee MEDICAID 3980754

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