Provider Demographics
NPI:1083869721
Name:BURROWS, REBECCA S (MS, SLP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:BURROWS
Suffix:
Gender:F
Credentials:MS, 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 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2643
Mailing Address - Country:US
Mailing Address - Phone:315-339-1337
Mailing Address - Fax:
Practice Address - Street 1:302 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2643
Practice Address - Country:US
Practice Address - Phone:315-339-1337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007751-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist