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Individual
MR. RYAN JEFFREY BURDICK
Active
Individual
MR. RYAN JEFFREY BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08738
MD
235Z00000X
Speech-Language Pathologist
SL013605
PA
Other
Enumeration date
09/06/2017
Last updated
11/15/2019
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