Individual
GILLIAN BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
4509 INTEGRIS PKWY STE 100, EDMOND, OK 73034-8696
(405) 945-9500
Mailing address
11101 HEFNER POINTE DR STE 207, OKLAHOMA CITY, OK 73120-5054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731192765
—
OK
Enumeration date
02/03/2020
Last updated
02/03/2020
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