Whalio Doctors

NPI 1801102132

Burgess Psychological, INC.

Organisation Community/Behavioral Health Agency South Pasadena, CA

Practice location

Address
1910 Huntington Dr, South Pasadena, CA 91030-4812
Phone
(626) 441-6111
Fax
(626) 441-6389

Authorised official

Name
Manny Burgess
Title
President
Phone
(626) 441-6111

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence PSY10843 (CA)

Registry record

NPI
1801102132
Entity type
Organization
NPI issued
24 Aug 2010
Record last updated
24 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.