NPI 1629189568 · live from the CMS NPI Registry
Michael S. Burke, Psy.D.
Psychologist, Clinical in Kearney, NE. National Provider Identifier 1629189568, active.
NPI record
| NPI | 1629189568 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3720 Avenue A, Suite E, Kearney, NE 68847 |
| Practice phone | 308-234-5644 |
| Mailing address | 3710 Avenue A, Suite E, Kearney, NE 68847 |
| Enumerated | August 31, 2006 |
| Last updated | December 5, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 200 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.