Basic Information
Provider Information
NPI: 1235132986
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURDETT
FirstName: APRIL
MiddleName: ELAINE
NamePrefix: DR.
NameSuffix:  
Credential: AUD CCCA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCHEIBLE
OtherFirstName: APRIL
OtherMiddleName: ELAINE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: AUD
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 840223
Address2:  
City: DALLAS
State: TX
PostalCode: 752840223
CountryCode: US
TelephoneNumber: 2146915466
FaxNumber:  
Practice Location
Address1: 6809 W NORTHWEST HWY
Address2:  
City: DALLAS
State: TX
PostalCode: 752254202
CountryCode: US
TelephoneNumber: 2146915466
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2005
LastUpdateDate: 03/05/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X51442TXY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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