Provider Demographics
NPI:1285112516
Name:BURZYNSKI, MORGEN (SLP-CFY)
Entity type:Individual
Prefix:MS
First Name:MORGEN
Middle Name:
Last Name:BURZYNSKI
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 W ROCK SPRING RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-3514
Mailing Address - Country:US
Mailing Address - Phone:252-258-0068
Mailing Address - Fax:
Practice Address - Street 1:479 WILLIS HARE RD
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:NC
Practice Address - Zip Code:27862-7033
Practice Address - Country:US
Practice Address - Phone:252-585-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist