Dr. Danny Ray Burgess, PhD
Psychologist, Clinical in Jackson, MS. Individual provider (NPI-1).
NPI number1346563137
StatusActive
Last updated in NPPESAug 8, 2016
Details
- NPI
- 1346563137
- Entity type
- Individual (NPI-1)
- Name
- Dr. Danny Ray Burgess
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2010
- Last updated
- Aug 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 49854 | MS | Yes |
Practice location
1350 E Woodrow Wilson AveJackson, MS 39216-5112
Phone 601-981-2611
Mailing address
1910 Lakeland DrSuite C
Jackson, MS 39216-5029
Phone 601-713-1550
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