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Patricia Polk Burkett, PsyD

Psychologist in St Petersburg, FL. Individual provider (NPI-1).

NPI number1720079932
StatusActive
Last updated in NPPESJun 30, 2023

Details

NPI
1720079932
Entity type
Individual (NPI-1)
Name
Patricia Polk Burkett
Credential
PsyD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 4, 2005
Certification date
Jun 30, 2023
Last updated
Jun 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPY4694FLYes

Practice location

1201 5th Ave N
St Petersburg, FL 33705-1400

Phone 727-821-0017 · Fax 727-822-7473

Mailing address

Po Box 102222
Atlanta, GA 30368-2222

Phone 239-274-8200 · Fax 239-278-3350

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