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DR. MATTHEW M. BURG PHD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508976721

Individual Registrant:
DR. MATTHEW M. BURG PHD
Gender: M
Sole Proprietor

Location and contact information for practice:
81 GREEN HILL RD  MADISON, CT 06443-2161 US
Tel: 203-245-1628  Fax: 203-245-5759

Contact information for business:
81 GREEN HILL RD  MADISON, CT 06443-2161 US
Tel: 203-245-1628  Fax: 203-245-5759

Registration Information:
NPI: 1508976721
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CT1422
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
CT1422

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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