JENNIFER LYNN BURDEN PH.D. - NPI 1063479558

Q: What is Jennifer Burden's NPI number?

The NPI number for Jennifer Burden is 1063479558. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Jennifer Burden's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Burden was last updated on February 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Lynn Burden Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LYNN BURDEN PH.D. (NPI 1063479558) is an individual clinical provider in Salem, Virginia, licensed in Virginia (0810003282) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1063479558

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNIFER LYNN BURDENCredential: PH.D.

Location Address1970 ROANOKE BLVD, MENTAL HEALTH 116ASalem, VA 24153-6404

Mailing Address1970 Roanoke Blvd, Mental Health 116aSalem, VA 24153-6404 · (540) 982-2463 · Fax (540) 855-5015

Phone(540) 982-2463

Fax(540) 855-5015

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateFebruary 16, 2011

✔ NPI 1063479558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810003282

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 0810003282 (VA)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 0810003282 (VA)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 0810003282 (VA)

1970 ROANOKE BLVD, Salem, VA 24153

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW

Social Worker (Clinical)

1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153

Salem City (540) 982-2463

DR. PETER LEWIS WILLS PHARM.D.

Pharmacist

1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153

Salem City (540) 982-2463

DR. JAMES PAARLBERG PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)