Organization
BURKE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A BURKE PH.D. (SOLE MEMBER)
(618) 527-6144
Entity
Organization
Contact information
Practice address
3200 FISHBACK RD, CARBONDALE, IL 62901-6307
(618) 527-6144
(618) 529-1693
Mailing address
PO BOX 1442, CARBONDALE, IL 62903-1442
(618) 527-6144
(618) 529-1693
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007221
IL
Other
Enumeration date
01/23/2008
Last updated
04/22/2010
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