Doctor Name: | MRS. JOANNA MICHELLE BURGTORF |
NPI Number: | 1992941850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2872 |
Business Practice Address: | 11101 Hefner Pointe Dr. Okc, OK - 73120 |
Business Phone Number: | 4057209812 |
Business Fax Number: | 4057209815 |
Mailing Address: | 11101 Hefner Pointe Dr., OKC |
State: | OK |
Postal Code: | 73120 |
Phone Number: | 4057209812 |
Fax Number: | 4057209815 |
NPI Enumeration Date: | 12/24/2008 |
NPI Last Update Date: | 12/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |