| Doctor Name: | MRS. BEVERLY WILSON BURROUGHS |
| NPI Number: | 1396913505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC/SLP |
| License Number: | SP0000000466 |
| Business Practice Address: | 5469 Southwood Dr Memphis, TN - 381201928 |
| Business Phone Number: | 9017610021 |
| Business Fax Number: | 9012552823 |
| Mailing Address: | Po Box 181291, MEMPHIS |
| State: | TN |
| Postal Code: | 381811291 |
| Phone Number: | 9017945658 |
| Fax Number: | 9012552823 |
| NPI Enumeration Date: | 02/11/2008 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP0000000466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |