Doctor Name: | WILLIAM BURKHARD |
NPI Number: | 1215015581 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CASAC |
License Number: | 2144 |
Business Practice Address: | 7550 South State Street Lowville, NY - 13367 |
Business Phone Number: | 3153765450 |
Business Fax Number: | 3153767221 |
Mailing Address: | 7550 South State Street, LOWVILLE |
State: | NY |
Postal Code: | 13367 |
Phone Number: | 3153765450 |
Fax Number: | 3153767221 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |