DR. Ilana Ilkovitch Burgh, PSYD

NPI #1104142496 in Mc Lean, Virginia

Provider Information

NPI Number: 1104142496
Entity Type: Individual
Name: DR. Ilana Ilkovitch Burgh, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Apr 13, 2010
Last Updated: Feb 4, 2013

Practice Location

Address: 1645 INTERNATIONAL DR
Address 2: 327
City: Mc Lean
State: Virginia
ZIP Code: 22102-4816
Phone: (240) 354-7651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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