Individual provider · Type 1 NPI
Erica Burgoon, PhD
Clinical Psychologist · Philadelphia, PA
Practice location
525 S 4th St, Suite 417
Philadelphia, PA 19147-1570
Mailing address
411 Westmont Ave
Haddonfield, NJ 08033-1716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PS016552 (PA) |
| Clinical Psychologist | 103TC0700X | B1-0000957 (DE) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1417359167
Erica Burgoon, PhD's National Provider Identifier is 1417359167, issued on Sep 24, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 24, 2014.