Brian Thomas Burgess, PSYD Valid NPI
Individual provider · Clinical Psychologist · Corona, CA
- NPI
- 1073861217
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY31294 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-08-20
- Last updated
- 2024-04-26
Practice location
2292 Adrienne Dr
Corona, CA 92882-5113
(773) 318-2361