Provider Demographics
NPI:1609076454
Name:BURROWS, CASHWELL L (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASHWELL
Middle Name:L
Last Name:BURROWS
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-2818
Mailing Address - Country:US
Mailing Address - Phone:406-377-4502
Mailing Address - Fax:
Practice Address - Street 1:101 JUNIPER AVE
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-2818
Practice Address - Country:US
Practice Address - Phone:406-377-4502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT31235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist