Doctor Name: | JAMES A BURZYNSKI |
NPI Number: | 1184952814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S, CCC, SLP |
License Number: | 148007108 |
Business Practice Address: | Wabash Christian Retirement Center 216 College Blvd Carmi, IL - 62821 |
Business Phone Number: | 6183824644 |
Business Fax Number: | |
Mailing Address: | 1457 Co. Rd. 800 E, CARMI |
State: | IL |
Postal Code: | 62831 |
Phone Number: | 6183848173 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2009 |
NPI Last Update Date: | 11/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 148007108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |