Provider Demographics
NPI:1003249731
Name:BURSTEIN, NORMAN (AUD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:
Last Name:BURSTEIN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 OLD LANCASTER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3118
Mailing Address - Country:US
Mailing Address - Phone:610-527-1436
Mailing Address - Fax:610-527-2399
Practice Address - Street 1:830 OLD LANCASTER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3118
Practice Address - Country:US
Practice Address - Phone:610-527-1436
Practice Address - Fax:610-527-2399
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000846L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist