Provider Demographics
NPI:1033137526
Name:BURR, ROSEMARY L (EDD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:L
Last Name:BURR
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 KINGSTON PIKE
Mailing Address - Street 2:TWELVE OAKS STE 410
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:865-558-5955
Mailing Address - Fax:865-584-4865
Practice Address - Street 1:5401 KINGSTON PIKE
Practice Address - Street 2:TWELVE OAKS STE 410
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-558-5955
Practice Address - Fax:865-584-4865
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000000449103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist