MEDICARE: ALYSSA TAYLOR BURGIS M.S. 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
1	235Z00000X	Speech-Language Pathologist	11838	MD

General Provider Information

NPI Number	:	1336951979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA TAYLOR BURGIS M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1210 GYROS CT
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-2795
Country	:	US
Telephone Number	:	484-354-9175
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 POT SPRING RD
Second Line	:
City	:	TIMONIUM
State	:	MD
Zip	:	21093-2778
Country	:	US
Telephone Number	:	484-354-9175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/14/2026

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Directions to “ ALYSSA TAYLOR BURGIS M.S. CCC-SLP” Practice Location

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