Provider Demographics
NPI:1295169928
Name:BURLING, PATRICK (MS)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:BURLING
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W RAMBO ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19405-1126
Mailing Address - Country:US
Mailing Address - Phone:610-858-2996
Mailing Address - Fax:
Practice Address - Street 1:521 PLYMOUTH RD
Practice Address - Street 2:THE PROGRESSIONS COMPANIES INC
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462
Practice Address - Country:US
Practice Address - Phone:610-941-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst