Organization
BURGE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HAROLD BURGE PH.D. (OWNER)
(205) 403-0955
Entity
Organization
Contact information
Practice address
2 RIVERCHASE OFFICE PLZ STE 115, HOOVER, AL 35244-2810
(205) 403-0955
(205) 403-0956
Mailing address
2 RIVERCHASE OFFICE PLZ STE 115, HOOVER, AL 35244-2810
(205) 403-0955
(205) 403-0956
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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