Individual
DR. JEREMIAH W BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
180 FERRUM MOUNTAIN RD, FERRUM, VA 24088-2939
(540) 365-4469
(540) 365-4272
Mailing address
PO BOX 9, LAUREL FORK, VA 24352-0009
(276) 398-1214
(276) 398-1234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810006349
VA
103TC1900X
Counseling Psychologist
Primary
0810006349
VA
Other
Enumeration date
06/21/2011
Last updated
12/13/2023
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