Timothy Burnett
Counselor Clinical Psychologist
3551 Roger Brooke Dr
Jbsa Ft Sam Houston
, Texas 78234-4504
Timothy Burnett
Counselor Clinical Psychologist
3551 Roger Brooke Dr
Jbsa Ft Sam Houston
, Texas 78234-4504
(253) 968-2820
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About
Features
Specialties
- Counselor
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Timothy Burnett
- 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 968-2820
Second Address
- Timothy Burnett
- 3551 Roger Brooke Dr
- Jbsa Ft Sam Houston, TX
- Zip : 78234-4504
- Phone : (253) 968-2820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 103G00000X | Clinical Psychologist | PY60675544 | WA |
| Y | 103TC0700X | Clinical Psychologist | PY60675544 | WA |
National Provider Identifier
| NPI | 1003105347 |
|---|---|
| Provider Name | Timothy Burnett |
| First Address | Tacoma, WA 98431-0001 |
| Second Address | Jbsa Ft Sam Houston, TX 78234-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2011 |
| Last Update Date | 11/04/2018 |
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.