Provider Demographics
NPI:1023366929
Name:BURROWES-MURRAY, BEVERLY (MA,SLP)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:
Last Name:BURROWES-MURRAY
Suffix:
Gender:F
Credentials:MA,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 GRAND TETON DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1790
Mailing Address - Country:US
Mailing Address - Phone:302-832-1818
Mailing Address - Fax:302-832-1818
Practice Address - Street 1:34 GRAND TETON DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1790
Practice Address - Country:US
Practice Address - Phone:302-832-1818
Practice Address - Fax:302-832-1818
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013877-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist