National Provider Identifier

Beth Amy Burdier, M.S., CCC-SLP

Beth Amy Burdier, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1124382726Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1124382726
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 27, 2012
Last Updated
July 21, 2022

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Specialist (174400000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1124382726
Entity Type
Individual
Last Name
Burdier
First Name
Beth
Middle Name
Amy
Name Prefix
Mrs.
Credential
M.S., CCC-SLP
Provider Other Last Name
Abbey
Provider Other First Name
Beth
Provider Other Middle Name
Amy
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
M.S., CCC-SLP
Provider Other Last Name Type Code
1
Mailing Street Address
149 N Main St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1434
Mailing Country
US
Mailing Phone
(585) 377-2230
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Enumeration Date
June 27, 2012
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
Certification Date
February 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Specialist (174400000X), Speech-Language Pathologist (235Z00000X)