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.
Identifier | Type | State | Issuer |
---|---|---|---|
031200 | 01 | VA | VALUE OPTIONS PROVIDER ID |
107617 | 01 | VA | ANTHEM BXBS RESTON ADDR |
54-1848078 | 01 | FEDERAL EMPLOYER ID # |
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