DR. TODD HAMILTON BURDICK


Address: 5601 Canyon Rd, Cheyenne, WY 82009-4545
Phone: 3076349082

DR. TODD HAMILTON BURDICK (NPI# 1114164175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114164175
Entity Type Individual
Full Name DR. TODD HAMILTON BURDICK
Credential PH.D.
Practice Address 5601 Canyon Rd
Cheyenne
WY 82009-4545
Practice Telephone 3076349082
Mailing Telephone 3076349082
Enumeration Date 2009-01-13
Last Update Date 2009-01-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3243 CO Behavioral Health & Social Service Providers

Office Location

Street Address 5601 CANYON RD
City CHEYENNE
State WY
Zip Code 82009-4545

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City CHEYENNE
Zip Code 82009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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