Doctor Name: | CATHERINE DANDL BURRISS |
NPI Number: | 1649268418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | SP00562 |
Business Practice Address: | 600 N Holtzclaw Ave Ste 100 Chattanooga, TN - 374041242 |
Business Phone Number: | 4236220500 |
Business Fax Number: | 4236220564 |
Mailing Address: | Po Box 1065, CHATTANOOGA |
State: | TN |
Postal Code: | 374011065 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/06/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00562 |
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 |