Linnea R. Burk, PHD

Individual provider Active NPI Clinical Psychologist · Fitchburg, WI

NPI 1588961981 · NPPES record last updated Feb 21, 2011

Key facts

NPI
1588961981
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2647-057 (WI)
Practice address
2990 Cahill Main
Suite 204
Fitchburg, WI 53711-7130
Phone
(608) 204-6083
NPI assigned
Feb 21, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2647-057WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving Collaborative Treatment Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2647-057 WI Yes

Addresses

Primary practice location

2990 Cahill Main
Suite 204
Fitchburg, WI 53711-7130

Mailing address

PO Box 259691
Achieving Collaborative Treatment
Madison, WI 53725-9691
Phone (608) 443-7032

Other providers in Fitchburg, WI

All providers in Fitchburg, WI · Clinical Psychologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.