| Renee K Burke Phd Pllc | |
|
4527 S 2300 E Ste 206 Salt Lake City UT 84117-4501 | |
| (801) 618-7443 | |
| Not Available |
| Full Name | Renee K Burke Phd Pllc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4527 S 2300 E Ste 206, Salt Lake City, Utah |
| Authorized Official Name and Position | Renee Burke (OWNER) |
| Authorized Official Contact | 8016187443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee K Burke Phd Pllc 4527 S 2300 E Ste 206 Salt Lake City UT 84117-4501 Ph: (801) 618-7443 | Renee K Burke Phd Pllc 4527 S 2300 E Ste 206 Salt Lake City UT 84117-4501 Ph: (801) 618-7443 |
| NPI Number | 1295311850 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295311850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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