Dr. Derek Burks, PhD
Psychologist, Clinical in San Francisco, CA. Individual provider (NPI-1).
NPI number1033430830
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1033430830
- Entity type
- Individual (NPI-1)
- Name
- Dr. Derek Burks
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2010
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY60123123 | WA | Yes |
| 103TC0700X | Psychologist, Clinical | 2666 | OR |
Practice location
4150 Clement StSan Francisco, CA 94121-1563
Phone 415-221-4810
Mailing address
4150 Clement StSan Francisco, CA 94121-1563
Phone 415-221-4810
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