MR. Thomas Wright Bursack, M.A.L.P.
NPI #1144503822 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1144503822
- Entity Type
- Individual
- Name
- MR. Thomas Wright Bursack, M.A.L.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- M.A.L.P.
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 7515 WAYZATA BLVD
- Address 2
- SUITE 210
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-1604
- Phone
- (763) 568-1773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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