Individual
JEFFREY M BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2711 S ROUSE ST STE C&D, PITTSBURG, KS 66762-6620
(620) 231-1068
Mailing address
2711 S ROUSE ST STE C&D, PITTSBURG, KS 66762-6620
(620) 231-1068
(620) 231-2792
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1369
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119895
BLUE CROSS BLUE SHIELD
KS
05
—
200380730A
—
KS
Enumeration date
08/30/2006
Last updated
06/26/2020
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