Individual
LIA BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(443) 444-8000
Mailing address
14221 SAWMILL CT, PHOENIX, MD 21131-1839
(410) 404-0782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07626
MD
Other
Enumeration date
12/05/2014
Last updated
03/15/2024
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