Provider Demographics
NPI:1386406627
Name:BURGHER, NAOMI (CCC-MS)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:BURGHER
Suffix:
Gender:F
Credentials:CCC-MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8429 DRY CLIFF CIR # A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7156
Mailing Address - Country:US
Mailing Address - Phone:213-842-0960
Mailing Address - Fax:
Practice Address - Street 1:8429 DRY CLIFF CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7156
Practice Address - Country:US
Practice Address - Phone:213-842-0960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-2832235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty