Provider Demographics
NPI:1083771372
Name:BURKE, APRIL (SPEECH THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1666
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30237-1666
Mailing Address - Country:US
Mailing Address - Phone:678-422-6271
Mailing Address - Fax:678-422-6696
Practice Address - Street 1:6505 RIADA CT
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8535
Practice Address - Country:US
Practice Address - Phone:678-422-6271
Practice Address - Fax:678-422-6696
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006232235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist