| Doctor Name: | NINA BURCKHARDT |
| NPI Number: | 1134235476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 15705 |
| Business Practice Address: | 1560 W Bay Area Blvd Ste 305 Friendswood, TX - 775462667 |
| Business Phone Number: | 2812189284 |
| Business Fax Number: | 2812406481 |
| Mailing Address: | 1560 W Bay Area Blvd, Ste 305 FRIENDSWOOD |
| State: | TX |
| Postal Code: | 775462667 |
| Phone Number: | 2812189284 |
| Fax Number: | 2812406481 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 15705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |