Provider Demographics
NPI:1164691572
Name:BURROWS, FREDERICK C (MS)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:C
Last Name:BURROWS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:RICK
Other - Middle Name:C
Other - Last Name:BURROWS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2539 HERMOSA TER
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-3309
Mailing Address - Country:US
Mailing Address - Phone:510-881-9588
Mailing Address - Fax:
Practice Address - Street 1:2539 HERMOSA TER
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3309
Practice Address - Country:US
Practice Address - Phone:510-881-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist