| Robert Burkham, Ph.d., S.c. | |
|
103 W College Ave Suite 611 Appleton WI 54911-5770 | |
| (920) 882-5300 | |
| (920) 882-0747 |
| Full Name | Robert Burkham, Ph.d., S.c. |
|---|---|
| Speciality | Psychologist |
| Location | 103 W College Ave, Appleton, Wisconsin |
| Authorized Official Name and Position | Robert Burkham (PRESIDENT) |
| Authorized Official Contact | 9208825300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Burkham, Ph.d., S.c. 103 W College Ave Suite 611 Appleton WI 54911-5770 Ph: (920) 882-5300 | Robert Burkham, Ph.d., S.c. 103 W College Ave Suite 611 Appleton WI 54911-5770 Ph: (920) 882-5300 |
| NPI Number | 1669700761 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 12/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669700761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 991-057 (Wisconsin) | Primary |
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