Doctor Name: | WILLIAM MICHAEL BURKIT |
NPI Number: | 1669782215 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, ATR-BC, LPC |
License Number: | PC003126 |
Business Practice Address: | 1385 Pocono Blvd Mount Pocono, PA - 183441678 |
Business Phone Number: | 4845545302 |
Business Fax Number: | 5704213600 |
Mailing Address: | 1385 Pocono Blvd, MOUNT POCONO |
State: | PA |
Postal Code: | 183441678 |
Phone Number: | 4845545302 |
Fax Number: | 5704213600 |
NPI Enumeration Date: | 10/18/2010 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC003126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |