Individual
LINA L BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
Mailing address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P2609
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514938
—
TN
Enumeration date
09/08/2005
Last updated
04/23/2017
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