Provider Demographics
NPI:1003863325
Name:BURTON, PAUL FLOYD (MSW,LCSW)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:FLOYD
Last Name:BURTON
Suffix:
Gender:M
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16111 PLUMMER ST
Mailing Address - Street 2:BLDG. 200, ROOM 2437
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-2036
Mailing Address - Country:US
Mailing Address - Phone:818-895-9596
Mailing Address - Fax:818-895-9339
Practice Address - Street 1:16111 PLUMMER ST
Practice Address - Street 2:BLDG. 200, ROOM 2437
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-895-9596
Practice Address - Fax:818-895-9339
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 53571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical