NPI Profile for REBECCA A BURDETTE in KENOSHA, WI.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Health |
103TH0004X | 62 | Psychologist, Clinical |
| NPI Number | 1942492020 |
|
| Status | Active | |
| Credentials | MS, PROFESSIONAL COU | |
| Entity | Individual | |
| Enumeration date | 08/13/2007 | |
| Last updated | 04/28/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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REBECCA A BURDETTE
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