Provider Demographics
NPI:1063633162
Name:BURLIN, FRANCES DEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES DEE
Middle Name:
Last Name:BURLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2642 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02659
Mailing Address - Country:US
Mailing Address - Phone:508-430-8230
Mailing Address - Fax:508-430-8230
Practice Address - Street 1:2642 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SOUTH CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02659
Practice Address - Country:US
Practice Address - Phone:508-430-8230
Practice Address - Fax:508-430-8230
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2023103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW02230OtherBLUE CROSS BLUE SHIELD