Individual
MS. JULIANNE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP CBIS
Contact information
Practice address
3625 MARSH RD, STOW, OH 44224-5823
(330) 346-0060
Mailing address
3652 KENT RD APT 1, STOW, OH 44224-4665
(440) 971-8877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 4806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01079654
ASHA
—
01
—
SP4806
OHIO BOARD OF SLP
OH
Enumeration date
07/06/2010
Last updated
04/19/2026
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