| Doctor Name: | MS. DEBRA ANN BURKE |
| NPI Number: | 1043561731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.L.P. |
| License Number: | 6301009867 |
| Business Practice Address: | 2180 44th St Se Suite 108 Kentwood, MI - 495085323 |
| Business Phone Number: | 6164551499 |
| Business Fax Number: | |
| Mailing Address: | 2180 44th St Se, Suite 108 KENTWOOD |
| State: | MI |
| Postal Code: | 495085323 |
| Phone Number: | 6164551499 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2012 |
| NPI Last Update Date: | 09/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301009867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |