Doctor Name: | MS. DEVON AMANDA BURKE |
NPI Number: | 1043666993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.F., SLP |
License Number: | |
Business Practice Address: | 124 W Fourth St Suttons Bay, MI - 496829733 |
Business Phone Number: | 2312712273 |
Business Fax Number: | |
Mailing Address: | 134 E Front St, Apt. 4 TRAVERSE CITY |
State: | MI |
Postal Code: | 496842509 |
Phone Number: | 8103050627 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |