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Individual
DR. SANDRA A BURKHARDT
Active
Individual
DR. SANDRA A BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071004565
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071004565
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20042496A
IN
Other
Enumeration date
11/06/2006
Last updated
07/20/2012
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