Individual
KIM MARIE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
112 MILLENNIUM DR, BLANDON, PA 19510-9578
(610) 678-7321
Mailing address
112 MILLENNIUM DR, BLANDON, PA 19510-9578
(610) 678-7321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004735L
PA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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