Individual
LAUREN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
(513) 246-7590
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9761
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP.09761
OHIO LICENSE
OH
Enumeration date
01/28/2010
Last updated
03/08/2018
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