Dr. Elwood Johnson Burgess JR.
Clinical Psychologist Forensic Psychologist Rehabilitation Psychologist Clinical Child & Adolescent Psychologist and 1 more
3824 Barrett Dr Suite 101
Raleigh
, North Carolina 27609-7220
Dr. Elwood Johnson Burgess JR.
Clinical Psychologist Forensic Psychologist Rehabilitation Psychologist Clinical Child & Adolescent Psychologist and 1 more
3824 Barrett Dr Suite 101
Raleigh
, North Carolina 27609-7220
(919) 785-9992
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Forensic Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Elwood Johnson Burgess JR.
- 3509 Haworth Dr Ste 404
- Raleigh, NC
- Zip : 27609-7237
- Fax : (919) 785-9992
- Phone : (919) 785-9944
Second Address
- Dr. Elwood Johnson Burgess JR.
- 3824 Barrett Dr Suite 101
- Raleigh, NC
- Zip : 27609-7220
- Fax : (919) 785-9992
- Phone : (919) 785-9944
Reviews
FAQs
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What type of doctor is Dr. Elwood Johnson Burgess JR.
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Is Dr. Elwood Johnson Burgess JR. a sole practitioner?
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Does Dr. Elwood Johnson Burgess JR. have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 2249 | NC |
| Y | 103TC0700X | Clinical Psychologist | 2249 | NC |
| N | 103G00000X | Clinical Psychologist | 2249 | NC |
| N | 103TC0700X | Clinical Psychologist | 2249 | NC |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2249 | NC |
| N | 103TF0200X | Forensic Psychologist | 2249 | NC |
| N | 103TR0400X | Rehabilitation Psychologist | 2249 | NC |
National Provider Identifier
| NPI | 1265644637 |
|---|---|
| Provider Name | Dr. Elwood Johnson Burgess JR. |
| First Address | Raleigh, NC 27609-7237 |
| Second Address | Raleigh, NC 27609-7220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2007 |
| Last Update Date | 26/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0310E | BCBSNC (01) | NC |
| 176TU | BC/BS EFF 2/1/2013 (01) | NC |
| 6000342 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.