MYRA CONNEL BURT

FORT BRAGG, CA
NPI1255455713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY15785)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
Dr. MYRA CONNEL BURT PSY
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-964-1251
Mailing Address
Dr. MYRA CONNEL BURT PSY
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-964-1251