Burdine, Judy C

Burdine, Judy C is an sole proprietor health care provider with primary practice located at 6101 N State Line Ave , Texarkana TX 75503-5309. 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. Burdine, Judy C can be contacted via phone (903) 791-2270.

Contact Information

Primary practice address
6101 N State Line Ave Texarkana TX 75503-5309
Phone: (903) 791-2270
Fax: (903) 792-0816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14532 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 477 Arkansas

Profile Details

NPI number 1164640660
LBN Legal business name Burdine, Judy C
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 9th, 2007 - about 19 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 1164640660 NPPES
Texas MEDICAID 012371

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