Myra Connel Burt, PSY Valid NPI

Individual provider · Psychologist · Fort Bragg, CA

NPI

1255455713

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

PSY15785 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-19

Last updated

2007-07-08