Individual
BRIDGET ALEXIS BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED CCC SLP
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
Mailing address
13280 WOODLAND PARK RD APT 327, HERNDON, VA 20171-5037
(716) 870-2349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010194
VA
Other
Enumeration date
09/19/2018
Last updated
04/11/2022
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