Individual provider · NPI-1

Regina Eva Buryak

Speech-Language Pathologist, · Sandy Springs, GA

NPI number1457182016
StatusActive
Last updated in NPPESAug 13, 2024

Details

NPI
1457182016
Entity type
Individual (NPI-1)
Name
Regina Eva Buryak
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2024
Certification date
Aug 13, 2024
Last updated
Aug 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP012817GAYes

Practice location

1115 Springwood Connector Unit 503
Sandy Springs, GA 30328-5886

Phone 408-242-6245

Mailing address

1115 Springwood Connector Unit 503
Sandy Springs, GA 30328-5886

Phone 408-242-6245

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