NPI 1003105347

Timothy Burnett, PSYD

Practitioner Clinical Psychologist Fort Sam Houston, TX

Practice location

Address: Brooke Army Medical Center 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234
Phone: (801) 739-3873
Mailing address: 1513 S 1220 W, Woods Cross, UT 84087-2370

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY60675544 (WA)

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003105347
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2011
Record last updated: 7 Oct 2024

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.