Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Logan Frederick Burgess

Individual provider Speech-Language Assistant · NPI 1649005331

Logan Frederick Burgess is a Speech-Language Assistant in Florissant, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
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Practice location Address checks out

15600 Old Halls Ferry Rd
Florissant, MO 63034-3385
Phone: (314) 953-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence 2024016726 (MO)

Record details

NPI number1649005331
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address4093 Towbridge Pl, Swansea, IL 62226-8519

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