Individual
LINDA M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1605 ST RT 60, STE 3, VERMILION, OH 44839
(440) 967-2508
(440) 967-4023
Mailing address
1605 ST RT 60, STE 3, VERMILION, OH 44089
(440) 967-2508
(440) 967-4023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 2336
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325532
ANTHEM BLUE CROSS
OH
Enumeration date
11/08/2005
Last updated
08/27/2007
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