Doctor Name: | ERICA BURDETTE |
NPI Number: | 1124413471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP-1597 |
Business Practice Address: | 179 Station Pl Suite 100 Hurricane, WV - 255266578 |
Business Phone Number: | 3047606300 |
Business Fax Number: | 3042015123 |
Mailing Address: | 179 Station Pl, Suite 100 HURRICANE |
State: | WV |
Postal Code: | 255266578 |
Phone Number: | 3047606300 |
Fax Number: | 3042015123 |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |