MEDICARE: MRS. OLIVIA JO BURLEIGH KLER 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	5366	LA

General Provider Information

NPI Number	:	1457452880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLIVIA JO BURLEIGH KLER SLP

Provider Business Mailing Address
First Line	:	145 NEWBURY LN
Second Line	:
City	:	SUNSET
State	:	LA
Zip	:	70584-6144
Country	:	US
Telephone Number	:	337-662-6635
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 NEWBURY LN
Second Line	:
City	:	SUNSET
State	:	LA
Zip	:	70584-6144
Country	:	US
Telephone Number	:	337-662-6635
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	01/20/2011

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