Individual
DR. JOHN E BURKHARDT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
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
Update your record
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