Burgess, Victoria D

Burgess, Victoria D is an sole proprietor health care provider with primary practice located at 963 E 7400 S #304, Midvale UT 84047-5678. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burgess, Victoria D can be contacted via phone (801) 359-9255.

Contact Information

Primary practice address
963 E 7400 S #304 Midvale UT 84047-5678
Phone: (801) 359-9255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 87-111805-2501 Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 83-111805-3902 Utah

Profile Details

NPI number 1447382494
LBN Legal business name Burgess, Victoria D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jan 24th, 2008 - about 18 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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