Individual provider · NPI-1

Erin Burge, MS CCC-SLP

Speech-Language Pathologist, · Buford, GA

NPI number1457765935
StatusActive
Last updated in NPPESNov 11, 2022

Details

NPI
1457765935
Entity type
Individual (NPI-1)
Name
Erin Burge
Credential
MS CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2014
Certification date
Nov 11, 2022
Last updated
Nov 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,OT008249GAYes

Practice location

115 E Main St Ste A1b
Buford, GA 30518-5727

Phone 770-376-5453

Mailing address

115 E Main St Ste A1b
Buford, GA 30518-5727

Phone 770-376-5453

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist, providers in Buford, GA