Doctor Name: | JEAN ALISON BURSON |
NPI Number: | 1083888556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP #1964 |
Business Practice Address: | 100 West Holly Street Junction City, AR - 717490790 |
Business Phone Number: | 8709244575 |
Business Fax Number: | 8709244601 |
Mailing Address: | Po Box 790, JUNCTION CITY |
State: | AR |
Postal Code: | 717490790 |
Phone Number: | 8709244575 |
Fax Number: | 8709244601 |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP #1964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |