Individual
MICHAEL S. BURKE
Active
Individual
MICHAEL S. BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
200
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470808292
MIDLANDS CHOICE
NE
05
—
47080829226
—
NE
01
—
484245000
MIS MAGELLAN
NE
01
—
8206
BC/BS
NE
Enumeration date
08/31/2006
Last updated
12/05/2008
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