Provider Demographics
NPI:1073779807
Name:BURCHFIELD, BELLA P (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BELLA
Middle Name:P
Last Name:BURCHFIELD
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 JACOBS ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:LA
Mailing Address - Zip Code:70342-2012
Mailing Address - Country:US
Mailing Address - Phone:985-385-1983
Mailing Address - Fax:
Practice Address - Street 1:302 JACOBS ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:LA
Practice Address - Zip Code:70342-2012
Practice Address - Country:US
Practice Address - Phone:985-385-1983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1549235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist