Individual
MR. HARRY DALTON BURROUGHS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
1200 MOUNTAIN CREEK RD, SUITE 380, CHATTANOOGA, TN 37405-1687
(423) 877-5042
(423) 877-5046
Mailing address
1200 MOUNTAIN CREEK RD, SUITE 380, CHATTANOOGA, TN 37405-1687
(423) 877-5042
(423) 877-5046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP549
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440985
—
TN
Enumeration date
06/11/2007
Last updated
07/08/2007
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