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DR. MALCOLM ROGER BURDICK PHD NPI 1023054343


NPI Information

NPI: 1023054343
Provider Name: DR. MALCOLM ROGER BURDICK, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
8059 SCYENE CIR
DALLAS, TX
ZIP 75227
Phone: (800) 257-8715
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DR. Malcolm Roger Burdick, PHD is a clinical psychologist in Dallas, TX. The provider is 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. DR. Malcolm Roger Burdick, PHD NPI is 1023054343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8059 SCYENE CIR
DALLAS, TX
ZIP 75227-562
Phone: (800) 257-8715

The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical22091TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
186979AOTHERTEXASBLUE CROSS BLUE SHIELD
28C9544MEDICARE ID-TYPE UNSPECIFIEDTEXAS
38C9542MEDICARE ID-TYPE UNSPECIFIEDTEXAS
4170349802MEDICAIDTEXAS
58C9543MEDICARE ID-TYPE UNSPECIFIEDTEXAS
6170349803MEDICAIDTEXAS
7170349801MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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