Whalio Doctors

NPI 1265644637

Elwood Johnson Burgess, PSYD

Practitioner Clinical Neuropsychologist Raleigh, NC

Practice location

Address
3824 Barrett Dr Suite 101, Raleigh, NC 27609-7220
Phone
(919) 785-9944
Fax
(919) 785-9992
Mailing address
3509 Haworth Dr STE 404, Raleigh, NC 27609-7237

Registered specialties (5)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2249 (NC)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2249 (NC)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 2249 (NC)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 2249 (NC)
Rehabilitation Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TR0400X Licence 2249 (NC)

Registry record

NPI
1265644637
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 May 2007
Record last updated
26 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.