Burditt, Gayle Lindsey

Burditt, Gayle Lindsey is an individual health care provider with primary practice located at 712 Trosper Rd Sw , Tumwater WA 98512-6934. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burditt, Gayle Lindsey can be contacted via phone (360) 866-8093.

Contact Information

Primary practice address
712 Trosper Rd Sw Tumwater WA 98512-6934
Phone: (360) 866-8093
Fax: (877) 612-0969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00001042 Washington

Profile Details

NPI number 1891752150
LBN Legal business name Burditt, Gayle Lindsey
Credentials MA CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891752150 NPPES
Washington MEDICAID 7072739
Washington Other 35940034
Washington Other 53971002

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