Individual
DR. WILLIAM T. BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5001 W VILLAGE GREEN DR, SUITE 211, MIDLOTHIAN, VA 23112-4801
(804) 744-9652
(804) 744-1265
Mailing address
5001 W VILLAGE GREEN DR, SUITE 211, MIDLOTHIAN, VA 23112-4801
(804) 744-9652
(804) 744-1265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7709714
—
VA
Enumeration date
07/08/2005
Last updated
04/30/2012
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