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NPI Code Detail

MEDICARE: AMY BURTON MS, CCC-SLP

MEDICARE: AMY BURTON 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 Pathologist3149MD

General Provider Information

NPI Number : 1881992949
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BURTON MS, CCC-SLP
Provider Business Mailing Address
First Line : 3705 KLAUSMIER RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21236-5013
Country : US
Telephone Number : 410-256-3705
Fax Number :
Provider Business Practice Location Address
First Line : 11630 GLEN ARM RD
Second Line :
City : GLEN ARM
State : MD
Zip : 21057-9403
Country : US
Telephone Number : 410-319-5035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2011
Last Update Date : 03/14/2011

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Directions to “ AMY BURTON MS, CCC-SLP” Practice Location

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