Doctor Name: | AMY BURTON |
NPI Number: | 1881992949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 3149 |
Business Practice Address: | 11630 Glen Arm Rd Glen Arm, MD - 210579403 |
Business Phone Number: | 4103195035 |
Business Fax Number: | |
Mailing Address: | 3705 Klausmier Rd, BALTIMORE |
State: | MD |
Postal Code: | 212365013 |
Phone Number: | 4102563705 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |