Individual
DR. JOHN E BURKHARDT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1265
(205) 348-5676
Mailing address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1265
(205) 348-5676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071008025
IL
103TC0700X
Clinical Psychologist
Primary
1973
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177583
—
AL
05
—
178640
—
AL
Enumeration date
12/14/2010
Last updated
05/23/2016
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