Dr. Elwood J. Burgess PSY.D.
Clinical Neuropsychologist in Raleigh, NC(View on Map)
Full Name
Dr. Elwood Johnson Burgess PSY.D.
NPI Number
1265644637
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/05/2007
Specialties
(Taxonomies)Name
Code
103G00000X
103TC2200X
103TC0700X
103TF0200X
103TR0400X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
North Carolina
License Number
2249
Contact
Information
Purpose
Mailing
Location
Address
3509 HAWORTH DR
3824 BARRETT DR
City
Raleigh
Raleigh
State
NC
NC
Postal Code
27609-7237
27609-7220
Country
US
US
Telephone Number
(919) 785-9944
(919) 785-9944
Identifiers
Identifier
0310E
176TU
6000342
Identifier State
NC
NC
NC
Identifier Issuer
BCBSNC
BC/BS EFF 2/1/2013
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/26/2018
Provider Address
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