Ryan Jeffrey Burdick, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Rockville, MD
NPI 1780102046 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1780102046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 08738 (MD)
- Practice address
- 9909 Medical Center Dr
Rockville, MD 20850 - Phone
- (240) 864-6000
- NPI assigned
- Sep 6, 2017
- Sex
- Male
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08738 | MD | MD | Speech-Language Pathologist |
| SL013605 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL013605 | PA | |
| Speech-Language Pathologist | 235Z00000X | 08738 | MD | Yes |
Addresses
Primary practice location
9909 Medical Center Dr
Rockville, MD 20850
Mailing address
9324 Willow Creek Dr Apt S
Montgomery Village, MD 20886-0438
Phone (315) 941-1657
Other practice location 1
1201 Rural Ave
Williamsport, PA 17701-1669
Phone (570) 323-4340
Other practice location 2
1201 Rural Ave
Williamsport, PA 17701-1669
Phone (570) 323-4340
Other providers in Rockville, MD
- Sarah Maria Buonanno
- Savannah Buonomo
- Vanessa Lee Buonopane
- Joy Burbach
- Jordan Burch
- Bria Burditt
- Myra Lee Burgee
- Ellen Burgess
- Gloria Burgess
- Kymia Burgess
All providers in Rockville, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. 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.