MEDICARE: ELIZABETH F BURKE 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	003134	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578569901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH F BURKE SLP

Provider Business Mailing Address
First Line	:	10 SYCAMORE CIR
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-3024
Country	:	US
Telephone Number	:	860-559-8878
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SYCAMORE CIR
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-3024
Country	:	US
Telephone Number	:	860-559-8878
Fax Number	:

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	11/09/2015

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Directions to “ ELIZABETH F BURKE SLP” Practice Location

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