BRANDI ELIZABETH BURQUE

CHAMPAIGN, IL
NPI1952534026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AL  1614)
Enumeration Date2009-08-24
Last Update Date2013-04-05
Business Address
-- BRANDI ELIZABETH BURQUE Ph.D.
3915 ROCKDALE DR
CHAMPAIGN, IL 61822-2051
Phone number: 954-802-7419
Mailing Address
-- BRANDI ELIZABETH BURQUE Ph.D.
3915 ROCKDALE DR
CHAMPAIGN, IL 61822-2051
Phone number: 954-802-7419