Individual
MCKAYLA JO BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
112 MELLON ST, BECKLEY, WV 25801-3536
(304) 255-5263
Mailing address
1318 PEA RIDGE RD, OAK HILL, WV 25901-5670
(304) 840-5259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2120
WV
Other
Enumeration date
08/05/2019
Last updated
06/20/2023
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