NPI 1023762622
Conrad Burbank, PSYD
Practice location
- Address
- 3715 Galloway St APT D112, Bozeman, MT 59718-5604
- Phone
- (773) 318-8866
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1023762622
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Feb 2022
- Record last updated
- 11 Feb 2022
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.