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Dr. Charles Ernest Burt, PHD
Clinical Psychologist in Reston, Virginia
NPI 1043362197

Charles Ernest Burt is a Clinical Psychologist based in Ashburn, VA and is specialized in Clinical. Charles Ernest Burt practices in Reston, VA and has the professional credentials of PHD. The NPI Number for Charles Ernest Burt is 1043362197 and holds a License No. 0810001508 (Virginia).

The current practice location address for Charles Ernest Burt is 1800 Michael Faraday Dr Ste 206, Reston, VA and can be reached out via phone at 703-899-3290 and via fax at 703-723-9404. You can also correspond with Charles Ernest Burt through the mailing address at 22563 FOREST MANOR DR, ASHBURN, VA - 20148-6900 (mailing address contact number: 703-899-3290).

Location: 1800 Michael Faraday Dr Ste 206, Reston, VA, 20148-6900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043362197
Provider Name
Charles Ernest Burt
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1800 Michael Faraday Dr Ste 206, Reston, VA, 20148-6900
Phone Number
703-899-3290
Fax Number
703-723-9404
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
031200 01 VA VALUE OPTIONS PROVIDER ID
107617 01 VA ANTHEM BXBS RESTON ADDR
54-1848078 01 FEDERAL EMPLOYER ID #
institution
Provider Business Practice Location Address Details
Address
1800 Michael Faraday Dr Ste 206
City
Reston
State
Virginia
Zip
20190-5312
Phone Number
703-899-3290
Fax Number
703-723-9404
person
Provider Business Mailing Address Details
Address
22563 Forest Manor Dr
City
Ashburn
State
Virginia
Zip
20148-6900
Phone Number
703-899-3290
Fax Number
703-723-9404
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
0810001508 (Virginia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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