Provider Demographics
NPI:1316065527
Name:BURROWS, DAVID R (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
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 1:24 HILLVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2115
Mailing Address - Country:US
Mailing Address - Phone:973-455-1241
Mailing Address - Fax:
Practice Address - Street 1:24 HILLVIEW AVE
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2115
Practice Address - Country:US
Practice Address - Phone:973-455-1241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYS03602235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist