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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891752150 | NPPES |
| Washington | MEDICAID | 7072739 | |
| Washington | Other | 35940034 | |
| Washington | Other | 53971002 |
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