Dr. Matthew M. Burg
Health Service Clinical Psychologist
81 Green Hill Rd
Madison
, Connecticut 06443-2161
Dr. Matthew M. Burg
Health Service Clinical Psychologist
81 Green Hill Rd
Madison
, Connecticut 06443-2161
(203) 245-5759
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About
Features
Specialties
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Matthew M. Burg
- 81 Green Hill Rd
- Madison, CT
- Zip : 06443-2161
- Fax : (203) 245-5759
- Phone : (203) 245-1628
Second Address
- Dr. Matthew M. Burg
- 81 Green Hill Rd
- Madison, CT
- Zip : 06443-2161
- Fax : (203) 245-5759
- Phone : (203) 245-1628
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Is Dr. Matthew M. Burg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 1422 | CT |
| N | 103TC0700X | Clinical Psychologist | 1422 | CT |
| N | 103TH0100X | Health Service | 1422 | CT |
National Provider Identifier
| NPI | 1508976721 |
|---|---|
| Provider Name | Dr. Matthew M. Burg |
| First Address | Madison, CT 06443-2161 |
| Second Address | Madison, CT 06443-2161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.