Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BURGESS
ActiveJUSTIN BURGESS is a Clinical Psychologist healthcare provider located in FORT GREGG ADAMS, Virginia. NPI 1396419891 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT GREGG ADAMS, VA
Registration Details
- NPI Number
- 1396419891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2021 (5.0675620248139 yrs)
- Last Updated
- Aug 16, 2024
- Licenses
-
0810008092 (VA)0810008092 (VA)
Practice Information
- Address
-
700 24TH STFORT GREGG ADAMS, VA, 238011716Browse VA providers · Browse ZIP 23801
- Phone
- 8047349000
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.