Burt, Nicole

Burt, Nicole is an individual health care provider with primary practice located at 7600 N 16Th St Ste 110 , Phoenix AZ 85020-4446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Burt, Nicole can be contacted via phone (602) 615-0381.

Contact Information

Primary practice address
7600 N 16Th St Ste 110 Phoenix AZ 85020-4446
Phone: (602) 615-0381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4975 Arizona

Profile Details

NPI number 1053805325
LBN Legal business name Burt, Nicole
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Jun 19th, 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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