Nicole Burt
Clinical Child & Adolescent Psychologist Intellectual & Developmental Disabilities
7600 N 16th St Ste 110
Phoenix
, Arizona 85020-4446
Nicole Burt
Clinical Child & Adolescent Psychologist Intellectual & Developmental Disabilities
7600 N 16th St Ste 110
Phoenix
, Arizona 85020-4446
(602) 615-0381
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Nicole Burt
- 7600 N 16th St Ste 110
- Phoenix, AZ
- Zip : 85020-4446
- Phone : (602) 615-0381
Second Address
- Nicole Burt
- 7600 N 16th St Ste 110
- Phoenix, AZ
- Zip : 85020-4446
- Phone : (602) 615-0381
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 4975 | AZ |
| N | 103TM1800X | Intellectual & Developmental Disabilities |
National Provider Identifier
| NPI | 1053805325 |
|---|---|
| Provider Name | Nicole Burt |
| First Address | Phoenix, AZ 85020-4446 |
| Second Address | Phoenix, AZ 85020-4446 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2018 |
| Last Update Date | 19/06/2018 |
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.