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ALISA BURKLOW M.A. CCC-SLP NPI 1639481211


NPI Information

NPI: 1639481211
Provider Name: ALISA BURKLOW, M.A., CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
4106 MAID STONE DR
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 540-1861
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Alisa Burklow, M.A., CCC-SLP is a speech language pathologist in Lake Charles, LA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Alisa Burklow, M.A., CCC-SLP NPI is 1639481211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4106 MAID STONE DR
LAKE CHARLES, LA
ZIP 70605-030
Phone: (337) 540-1861

The enumeration date for this NPI number is 7/12/2010 and was last updated on 10/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist3856484LOUISIANANo
2235Z00000XSpeech-Language Pathologist6299LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12116401MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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