Burroughs, Harry Dalton

Burroughs, Harry Dalton is an individual health care provider with primary practice located at 1200 Mountain Creek Rd Suite 380, Chattanooga TN 37405-1687. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Burroughs, Harry Dalton can be contacted via phone (423) 877-5042.

Contact Information

Primary practice address
1200 Mountain Creek Rd Suite 380 Chattanooga TN 37405-1687
Phone: (423) 877-5042
Fax: (423) 877-5046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP549 Tennessee

Profile Details

NPI number 1730383159
LBN Legal business name Burroughs, Harry Dalton
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730383159 NPPES
Tennessee MEDICAID 5440985

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