Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey W Burnett, HSPP

Individual provider Cognitive & Behavioral Psychologist · NPI 1720055304

Jeffrey W Burnett, HSPP is a Cognitive & Behavioral Psychologist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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Practice location Address checks out

611 Lincoln Way E
South Bend, IN 46601-3220
Phone: (574) 232-2255
Fax: (574) 232-8968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 20041003A (IN)

Record details

NPI number1720055304
Entity typeIndividual (Type 1)
GenderMale
Credentials HSPP
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESDecember 10, 2008

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