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Individual

DR. TRACY DANIEL BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
104 S CHURCH ST, WEST CHESTER, PA 19382-3202
(610) 431-7810
(610) 431-7811
Mailing address
104 S CHURCH ST, WEST CHESTER, PA 19382-3202
(610) 431-7810
(610) 431-7811

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005355L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
603933
BC BS PROVIDER
PA
Enumeration date
12/14/2006
Last updated
07/21/2014
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