Whalio Doctors

NPI 1023762622

Conrad Burbank, PSYD

Practitioner Clinical Psychologist Bozeman, MT

Practice location

Address
3715 Galloway St APT D112, Bozeman, MT 59718-5604
Phone
(773) 318-8866

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-PSY-LIC-3564 (MT)

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.