Burge, Bryn Liese
Burge, Bryn Liese is an individual health care provider with primary practice located at 35535 6Th Pl Sw Birth To Three Developmental Center, Federal Way WA 98023. 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. Burge, Bryn Liese can be contacted via phone (253) 874-5445.Contact Information
Primary practice address
35535 6Th Pl Sw Birth To Three Developmental Center
Federal Way WA 98023
Phone: (253) 874-5445
Fax: (253) 874-0687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00003791 | Washington |
Profile Details
| NPI number | 1801967534 |
|---|---|
| LBN Legal business name | Burge, Bryn Liese |
| Credentials | MS CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801967534 | NPPES |
| Washington | Other | 0378BU | REGENCE BS |
| Washington | MEDICAID | 8436032 | REGENCE BS |
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