Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLINOR R BURKE, PH.D.
Active Sole ProprietorELLINOR R BURKE, PH.D. is a Psychologist healthcare provider located in SAINT MARYS, Georgia. NPI 1821095399 is currently active in the NPPES registry. Verify at CMS.
Psychologist · SAINT MARYS, GA
Registration Details
- NPI Number
- 1821095399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2005 (21.119369450244 yrs)
- Last Updated
- Jul 1, 2020
- Licenses
-
PSY003747 (NJ)35SI00313400 (NJ)PSY003747 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1201 SHADOWLAWN DR STE 101SAINT MARYS, GA, 315584074Browse GA providers · Browse ZIP 31558
- Phone
- 9127440993
- Fax
- 9127440993
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
- Additional Specialty
- Psychologist
Other Psychologist Providers in SAINT MARYS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PRISCILLA THORN | PSY.D. | 1558856740 |
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.