Individual
DR. PEGGY JOANNE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4467 CASCADE RD., SE, SUITE 4469, GRAND RAPIDS, MI 49546-3632
(616) 940-1659
(616) 940-2853
Mailing address
4467 CASCADE RD., SE, SUITE 4469, GRAND RAPIDS, MI 49546-3632
(616) 940-1659
(616) 940-2853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301007618
MI
103TA0700X
Adult Development & Aging Psychologist
6301007618
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301007618
MI
103TC0700X
Clinical Psychologist
6301007618
MI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301007618
MI
Other
Enumeration date
05/04/2007
Last updated
09/11/2025
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