Doctor Name: | MRS. CARLA JANEEN BURDETTE |
NPI Number: | 1376852863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTER OF ARTS |
License Number: | |
Business Practice Address: | 10900 Marsh Ave. Kansas City, MO - 64134 |
Business Phone Number: | 8163167900 |
Business Fax Number: | |
Mailing Address: | 10900 Marsh Ave, KANSAS CITY |
State: | MO |
Postal Code: | 641343042 |
Phone Number: | 8163167940 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |