Organization
CAROL R BURKS PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL R BURKS PHD (PHD/PRESIDENT)
(575) 524-8404
Entity
Organization
Contact information
Practice address
225 E IDAHO AVE, SUITE 10, LAS CRUCES, NM 88005-3257
(575) 524-8404
Mailing address
PO BOX 16254, LAS CRUCES, NM 88004-6254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
651
NM
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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