Provider Demographics
NPI:1801069141
Name:BURCH, CHRISTIE H (AUDIOLOGIST)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:H
Last Name:BURCH
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MCFARLAND BLVD N STE 330
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2180
Mailing Address - Country:US
Mailing Address - Phone:205-345-7614
Mailing Address - Fax:205-345-9756
Practice Address - Street 1:1800 MCFARLAND BLVD N
Practice Address - Street 2:SUITE 330
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2114
Practice Address - Country:US
Practice Address - Phone:205-242-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
AL895A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I643797OtherMEDICARE