Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN FREDERICK BURGESS
Active Sole ProprietorLOGAN FREDERICK BURGESS is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in FLORISSANT, Missouri. NPI 1649005331 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · FLORISSANT, MO
Registration Details
- NPI Number
- 1649005331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2024 (1.9658236483828 yrs)
- Last Updated
- Sep 3, 2024
- License
-
2024016726 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15600 OLD HALLS FERRY RDFLORISSANT, MO, 630343385Browse MO providers · Browse ZIP 63034
- Phone
- 3149534050
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
Other Swallowing Disorders Speech-Language Pathologist Providers in FLORISSANT, MO
| Name | Credential | NPI |
|---|---|---|
| MARY BLAYLOCK | — | 1194550566 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.