Provider Demographics
NPI:1780992743
Name:DOW-BURGER, KATHY MARGARET (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:MARGARET
Last Name:DOW-BURGER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:MARGARET
Other - Last Name:DOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:13217 TREBLECLEF LANE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6867
Mailing Address - Country:US
Mailing Address - Phone:301-890-7109
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MARYLAND HESP
Practice Address - Street 2:0100 LE FRAK HALL
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742-0001
Practice Address - Country:US
Practice Address - Phone:301-405-3287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02573235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist