Tara Starr Burge M.A.,CCC-SLP

NPI 1043563505 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043563505
Gender Female
Enumeration Date 10/22/2012
Last Updated 10/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
303 N HURSTBOURNE PKWY
SUITE 200
LOUISVILLE KY, 40222-5185, US
Phone (502) 412-5847
Fax (502) 213-4697
Business Location
303 N HURSTBOURNE PKWY
SUITE 200
LOUISVILLE KY, 40222-5185, US
Phone (502) 412-5847
Fax (502) 213-4697
Toxanomy
Taxonomy Code 235Z00000X
License State Ohio
License Number SP.8958
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According to our database, Miss Tara Starr Burge M.A.,CCC-SLP NPI is 1043563505, taxonomy code is 235Z00000X and license number is SP.8958, license state is located at Ohio. Tara Starr Burge M.A.,CCC-SLP physically located at 303 N Hurstbourne Pkwy, Louisville KY, 40222-5185. NPI Number Tara Starr Burge M.A.,CCC-SLP has the Individual type.

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1043563505 NPI number is provided on an as is basis without warranty of any kind. 1043563505 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Starr Burge M.A.,CCC-SLP are for informational purposes only.