HOFFMANN BURCHETT PSYCHOLOGICAL SERVICES, LLC


Address: 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706
Phone: 3098308099

HOFFMANN BURCHETT PSYCHOLOGICAL SERVICES, LLC (NPI# 1477860609) 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) 1477860609
Entity Type Organization
Organization Name HOFFMANN BURCHETT PSYCHOLOGICAL SERVICES, LLC
Practice Address 205 N Williamsburg Dr
Suite F
Bloomington
IL 61704-7706
Practice Telephone 3098308099
Practice Fax Number 3094545153
Mailing Telephone 3098308099
Mailing Fax Number 3094545153
Enumeration Date 2010-09-09
Last Update Date 2011-02-07
Authorized Official Name DR. CHRISTINA M. BURCHETT (LICENSED CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 3098308099
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0071006988 IL Behavioral Health & Social Service Providers

Office Location

Street Address 205 N WILLIAMSBURG DR
SUITE F
City BLOOMINGTON
State IL
Zip Code 61704-7706

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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 BLOOMINGTON
Zip Code 61704

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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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