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Individual

DR. SANDRA A BURKHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
60 ORLAND SQUARE DR, SUITE 203, ORLAND PARK, IL 60462-6548
(708) 364-7046
(708) 364-7048
Mailing address
60 ORLAND SQUARE DR, SUITE 203, ORLAND PARK, IL 60462-6523
(708) 364-7046
(708) 364-7048

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071004565
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071004565
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20042496A
IN

Other

Enumeration date
11/06/2006
Last updated
07/20/2012
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