Individual provider · Type 1 NPI

Myra Connel Burt, PSY

Psychologist · Fort Bragg, CA

NPI number 1255455713 Active

Practice location

205 South St
Fort Bragg, CA 95437-5540

Fax (707) 961-2722

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY15785 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1255455713

Myra Connel Burt, PSY's National Provider Identifier is 1255455713, issued on Mar 19, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Bragg, CA. The record was last updated on Jul 8, 2007.