Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY SCOTT BURKE, PH.D.
ActiveDR. RANDY SCOTT BURKE, PH.D. is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in JACKSON, Mississippi. NPI 1336173905 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · JACKSON, MS
Registration Details
- NPI Number
- 1336173905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.061026429961 yrs)
- Last Updated
- Jul 8, 2007
- License
-
40-13 (MS)
Practice Information
- Address
-
1500 EAST WOODROW WILSON DRIVEADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMCJACKSON, MS, 39216Browse MS providers · Browse ZIP 39216
- Phone
- 6013624471
- Fax
- 6013641298
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
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.