Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisa Burklow, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639481211

Alisa Burklow, MA, CCC-SLP is a Speech-Language Pathologist in Lake Charles, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

4106 Maid Stone Dr
Lake Charles, LA 70605-4030
Phone: (337) 540-1861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6299 (LA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 3856484 (LA)

Record details

NPI number1639481211
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 12, 2010
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

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