Burleson, Randal K
Burleson, Randal K is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burleson, Randal K can be contacted via phone (256) 533-1970.Contact Information
Primary practice address
4040 Memorial Pkwy Sw
Huntsville AL 35802-4364
Phone: (256) 533-1970
Fax: (256) 532-4112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 570 | Alabama |
Profile Details
| NPI number | 1063455194 |
|---|---|
| LBN Legal business name | Burleson, Randal K |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063455194 | NPPES |
| Alabama | Other | 51502966BUR | FED BCBS |
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