Burleson, Mary Bridget

Burleson, Mary Bridget is an individual health care provider with primary practice located at 1160 Van Voorhis Rd , Morgantown WV 26505-3437. 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. Burleson, Mary Bridget can be contacted via phone (304) 285-1035.

Contact Information

Primary practice address
1160 Van Voorhis Rd Morgantown WV 26505-3437
Phone: (304) 285-1035
Fax: (304) 598-1100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1092 West Virginia

Profile Details

NPI number 1649311267
LBN Legal business name Burleson, Mary Bridget
Credentials M.S. C.C.C. S.L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649311267 NPPES
West Virginia MEDICAID 0154103000

Popular Providers