Leslie A Burton, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1456 Issued in CT

Practice address

Gaylord Farm Rd
Gaylord Hospital
Wallingford, CT 06492

Phone

(203) 284-2800

Fax

(203) 294-3294

NPI assigned

Nov 14, 2016

Last updated

Nov 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1902348550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIVER RD",
            "address_2": "UNIT 305",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072723",
            "telephone_number": "203-637-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GAYLORD FARM RD",
            "address_2": "GAYLORD HOSPITAL",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-284-2800",
            "fax_number": "203-294-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Bugai, M.D.
• Richard Alexander Bugliari, M.D.
• Lilia Bunick, LPC, NCC
• Sheri Lynn Burghart, LMT
• Catharine Burke, APRN, FNP
• Melanie E Burton, LCSW, LADC, CASAC
• Butterfly Transformations Behavioral Health, PLLC
• Jaqueline Buza, M.D.
• C E Wilson Company Inc
• Joseph Cabral

• Clinical Neuropsychologist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.