Angie Sue Burdzilauskas
Individual provider Active NPI Speech-Language Pathologist · Azle, TX
NPI 1487908810 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1487908810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 110920 (TX)
- Practice address
- 733 Meadowcrest Dr
Azle, TX 76020-2544 - Phone
- (618) 960-9861
- NPI assigned
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110920 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110920 | TX | Yes |
Addresses
Primary practice location
733 Meadowcrest Dr
Azle, TX 76020-2544
Mailing address
733 Meadowcrest Dr
Azle, TX 76020-2544
Phone (618) 960-9861
Other providers in Azle, TX
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- Britton Bronson-Rodriguez
- Kathleen Lawlor Brooks
- Brookshire Grocery Company
- Corrie L Bush
- Virginia Butschek
- Gina Caleap
- Lauren Kathleen Calloway
- Angela Cavender
All providers in Azle, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. 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.