Individual
TERESA BURROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASST IN SLP
Contact information
Practice address
144 CHARLIE HALL RD, LUFKIN, TX 75901-1089
(936) 707-6948
Mailing address
144 CHARLIE HALL RD, LUFKIN, TX 75901-1089
(936) 707-6948
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
30887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30887
TEXAS DEPT OF LICENSING & REGULATION
TX
Enumeration date
11/04/2022
Last updated
11/04/2022
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