Doctor Name: | MRS. DALIT DRUK BURGESS |
NPI Number: | 1467686253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP-10266 |
Business Practice Address: | 11635 Euclid Ave Cleveland, OH - 441064319 |
Business Phone Number: | 2162318787 |
Business Fax Number: | 2162317141 |
Mailing Address: | 11635 Euclid Ave, CLEVELAND |
State: | OH |
Postal Code: | 441064319 |
Phone Number: | 2162318787 |
Fax Number: | 2162317141 |
NPI Enumeration Date: | 05/07/2009 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-10266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |