Provider Demographics
NPI:1417345653
Name:BURFORD, TARYN (SLP)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:BURFORD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:GAYLE
Other - Last Name:LASCARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:3035 NEW GERMANY RD
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-3516
Mailing Address - Country:US
Mailing Address - Phone:814-472-1100
Mailing Address - Fax:814-472-1105
Practice Address - Street 1:3035 NEW GERMANY RD
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-3516
Practice Address - Country:US
Practice Address - Phone:814-472-1100
Practice Address - Fax:814-472-1105
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL012250235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist