Doctor Name: | MRS. SUSANA MARTIN-BURGOS |
NPI Number: | 1902116783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | 16524 |
Business Practice Address: | 425 E. Los Ebanos Blvd. Suite 109 Brownsville, TX - 785208443 |
Business Phone Number: | 9566225059 |
Business Fax Number: | 9565540540 |
Mailing Address: | 425 E. Los Ebanos Blvd., Suite 109 BROWNSVILLE |
State: | TX |
Postal Code: | 785208443 |
Phone Number: | 9566225059 |
Fax Number: | 9565540540 |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |