Individual
CLAIRE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SALLITT DR STE C, STEVENSVILLE, MD 21666-2156
(443) 249-3126
Mailing address
134 WINTERBROOK DR, AMHERST, NY 14228-1274
(716) 432-5340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030824
NY
235Z00000X
Speech-Language Pathologist
09702
MD
235Z00000X
Speech-Language Pathologist
2202009899
VA
235Z00000X
Speech-Language Pathologist
SLP200001214
DC
Other
Enumeration date
10/24/2018
Last updated
05/10/2024
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