Tessa Ann Burgard, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · De Soto, MO
NPI 1053939389 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1053939389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2020025473 (MO)
- Practice address
- 610 Vineland School Rd
De Soto, MO 63020-2561 - Phone
- (636) 586-1000
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020025473 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Soto Public Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2020025473 | MO | Yes |
Addresses
Primary practice location
610 Vineland School Rd
De Soto, MO 63020-2561
Mailing address
7891 Matterhorn Dr
Cedar Hill, MO 63016-2508
Other providers in De Soto, MO
- Kelly Nicole Barrow
- BB&K, Inc.
- Jasmine Blanks
- Ashley Marie Bolton
- Christy Taryn Brewer
- Natalie Burgdorf
- Rebecca Ann Capriglione
- Jeffrey D Carpenter
- Chesntut Health Systems, Inc.
- Traci Churchill
All providers in De Soto, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.