Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELWOOD JOHNSON BURGESS JR., PSY.D.
Active Sole ProprietorClinical Neuropsychologist · RALEIGH, NC
Registration Details
- NPI Number
- 1265644637
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2007 (18.962413667146 yrs)
- Last Updated
- May 26, 2018
- Licenses
-
2249 (NC)2249 (NC)2249 (NC)2249 (NC)2249 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3824 BARRETT DRSUITE 101RALEIGH, NC, 276097220Browse NC providers · Browse ZIP 27609
- Phone
- 9197859944
- Fax
- 9197859992
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Forensic Psychologist
- Additional Specialty
- Rehabilitation Psychologist
Other Clinical Neuropsychologist Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| JENNIFER REBEKAH LARSON | PHD | 1487665584 |
| DR. LAURIE ROCHELLE LEACH | PH.D. | 1659481075 |
| DR. GEORGE PHILIP FOWLES | ED.D. | 1396857025 |
| DR. ROBERT LAKE CONDER JR. | PSY.D. | 1891892337 |
| DR. KAREN L. WILHELM | PH.D. | 1851474969 |
| DR. ELIZABETH P. SPARROW | PH.D. | 1275677502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.