Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY13656 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY13656 | CA |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TE1100X | Exercise & Sports Psychologist | ||
N | 103TP0814X | Psychoanalysis |
NPI | 1073950267 |
---|---|
Provider Name | Dr. Christopher Alan Burr |
First Address | Thousand Oaks, CA 91360-8123 |
Second Address | Thousand Oaks, CA 91360-8123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 17/03/2016 |