Individual
DR. EILEEN KOLOGINSKY BURKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
444 ANGELL ST, SECOND FLOOR, PROVIDENCE, RI 02906-4445
(401) 273-5115
(401) 273-8388
Mailing address
444 ANGELL ST, SECOND FLOOR, PROVIDENCE, RI 02906-4445
(401) 273-5115
(401) 273-8388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00321
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407465
BLUE CHIP PROVIDER
RI
01
—
9324-4
PROVIDER, RI BLUE CROSS
RI
Enumeration date
03/03/2007
Last updated
07/08/2007
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