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

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X2024016726 (MO)

Speech-Language Assistant: Definition to come...

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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.