Individual
KASSIE BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 932-2800
Mailing address
34350 RIDGE RD # D12, WILLOUGHBY HILLS, OH 44094-3088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND. 2012187
OH
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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