Provider Demographics
NPI:1447697958
Name:BURROWS, SHEILA MARIE (SLPA)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:BURROWS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:LYLE
Mailing Address - State:WA
Mailing Address - Zip Code:98635-0004
Mailing Address - Country:US
Mailing Address - Phone:503-858-7478
Mailing Address - Fax:
Practice Address - Street 1:603 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:LYLE
Practice Address - State:WA
Practice Address - Zip Code:98635-9048
Practice Address - Country:US
Practice Address - Phone:503-858-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASP 602347912355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant