Most Relevant Information
Provider Data
NPI Number: | 1003340258 |
Provider Name: | JENNALYN BURKE |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: |
Most Important Dates
Enumeration Date: | 04/14/2017 |
Last Updated: | 04/14/2017 |
Provider Practice Location
917 S SCHEUBER RD
CENTRALIA
WA
985319027
Practice Location Phone/Fax
Phone: | 3607369384 |
Fax: |
Provider Mailing Location
313 E WILLOW ST
#424
SYRACUSE
NY
132031976
Provider Mailing Phone/Fax
Phone: | 9712196260 |
Fax: |