Individual
JENNA LYNN BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
2603 SHADY AVE, PITTSBURGH, PA 15217-2404
(610) 751-1967
Mailing address
2603 SHADY AVE, PITTSBURGH, PA 15217-2404
(610) 751-1967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016055
PA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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