Organization
ROBERT BURKHAM, PH.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BURKHAM PH.D. (PRESIDENT)
(920) 882-5300
Entity
Organization
Contact information
Practice address
103 W COLLEGE AVE, SUITE 611, APPLETON, WI 54911-5770
(920) 882-5300
(920) 882-0747
Mailing address
103 W COLLEGE AVE, SUITE 611, APPLETON, WI 54911-5770
(920) 882-5300
(920) 882-0747
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
991-057
WI
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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