Individual
AUGUSTA ANN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Mailing address
435 4TH ST, TROY, NY 12180-5324
(518) 271-6777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001873-1
NY
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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