Burgess, Brian Thomas

Burgess, Brian Thomas is an sole proprietor health care provider with primary practice located at 2292 Adrienne Dr , Corona CA 92882-5113. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Burgess, Brian Thomas can be contacted via phone (773) 318-2361.

Contact Information

Primary practice address
2292 Adrienne Dr Corona CA 92882-5113
Phone: (773) 318-2361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180008239 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY31294 California

Profile Details

NPI number 1073861217
LBN Legal business name Burgess, Brian Thomas
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2012
Last updated Apr 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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