Individual provider · Type 1 NPI
Logan Frederick Burgess
Speech-Language Assistant · Florissant, MO
NPI number
1649005331
Active
Practice location
15600 Old Halls Ferry Rd
Florissant, MO 63034-3385
Mailing address
4093 Towbridge Pl
Swansea, IL 62226-8519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 2024016726 (MO) |
Speech-Language Assistant: Definition to come...
Other speech-language assistant providers in Florissant
About NPI 1649005331
Logan Frederick Burgess's National Provider Identifier is 1649005331, issued on Sep 3, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Florissant, MO. The record was last updated on Sep 3, 2024.