Provider Demographics
NPI:1811129596
Name:BURLINGAME, LYNNE (SLP)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:BURLINGAME
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9417 S MCCLELLAND RD
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48806-9365
Mailing Address - Country:US
Mailing Address - Phone:989-601-0637
Mailing Address - Fax:
Practice Address - Street 1:151 2ND ST
Practice Address - Street 2:
Practice Address - City:SPRING ARBOR
Practice Address - State:MI
Practice Address - Zip Code:49283-9647
Practice Address - Country:US
Practice Address - Phone:517-750-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist