Doctor Name: | LAURIE MARIE BURNETT |
NPI Number: | 1003821489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 146007914 |
Business Practice Address: | 5863 Anthony Dr Woodbridge, VA - 221933619 |
Business Phone Number: | 3219170297 |
Business Fax Number: | |
Mailing Address: | 5863 Anthony Dr, WOODBRIDGE |
State: | VA |
Postal Code: | 221933619 |
Phone Number: | 3219170297 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146007914 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |