Burtless, Cathy Ann

Burtless, Cathy Ann is an sole proprietor health care provider with primary practice located at 99 Greeley Ave , Sayville NY 11782-2300. 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. Burtless, Cathy Ann can be contacted via phone (631) 244-6725.

Contact Information

Primary practice address
99 Greeley Ave Sayville NY 11782-2300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 58012720 New York

Profile Details

NPI number 1396014494
LBN Legal business name Burtless, Cathy Ann
Credentials M.S., CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2011
Last updated Dec 19th, 2011 - about 14 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 1396014494 NPPES
New York Other 58012720 NEW YORK STATE LICENSE

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