Individual
ROBERT BURKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
103 W COLLEGE AVE, SUITE 815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Mailing address
103 W COLLEGE AVE, SUITE 815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
991057
WI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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