Individual
GAYLE LINDSEY BURDITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
712 TROSPER RD SW, TUMWATER, WA 98512-6934
(360) 866-8093
(877) 612-0969
Mailing address
3406 LAURELWOOD LN NW, OLYMPIA, WA 98502-3722
(360) 866-8093
(877) 612-0969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35940034
TPIN
WA
01
—
53971002
WA STATE LABOR & INDUSTRI
WA
05
—
7072739
—
WA
Enumeration date
04/28/2006
Last updated
07/09/2007
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