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NPI Code Detail

MEDICARE: ASHLEY NICOLE BURNSIDE MS, CCC-SLP

MEDICARE: ASHLEY NICOLE BURNSIDE MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist100723TX

General Provider Information

NPI Number : 1033691662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE BURNSIDE MS, CCC-SLP
Provider Business Mailing Address
First Line : 7100 SHARPS DR
Second Line :
City : PLANO
State : TX
Zip : 75025-3034
Country : US
Telephone Number : 469-343-7074
Fax Number :
Provider Business Practice Location Address
First Line : 1801 PEARSON AVE
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-3464
Country : US
Telephone Number : 469-343-7074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 02/23/2023

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Directions to “ ASHLEY NICOLE BURNSIDE MS, CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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