Provider Demographics
NPI:1841397403
Name:BURNS, THOMAS FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANCIS
Last Name:BURNS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 WASHINGTON ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3744
Mailing Address - Country:US
Mailing Address - Phone:603-749-0992
Mailing Address - Fax:603-749-2568
Practice Address - Street 1:90 WASHINGTON ST
Practice Address - Street 2:SUITE 304
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3744
Practice Address - Country:US
Practice Address - Phone:603-749-0992
Practice Address - Fax:603-749-2568
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH472103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003428Medicaid
NHRE0564Medicare ID - Type Unspecified