NPI 1851454581 · live from the CMS NPI Registry
Jeannie Burkhard
Psychologist in Providence, RI. National Provider Identifier 1851454581, active.
NPI record
| NPI | 1851454581 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 172 E Cushing St, Providence, RI 02906 |
| Practice phone | 401-751-8109 |
| Enumerated | December 17, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PS00285 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.