| Doctor Name: | DR. JON FRANKLIN BURKE |
| NPI Number: | 1023123759 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 00003899 |
| Business Practice Address: | 237 Professional Way Shelton, WA - 985844404 |
| Business Phone Number: | 3604262500 |
| Business Fax Number: | 3604262787 |
| Mailing Address: | 231 E Main St, UNION |
| State: | WA |
| Postal Code: | 985929630 |
| Phone Number: | 3609182955 |
| Fax Number: | 3602451000 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 00003899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |