Doctor Name: | MR. GEORGE AURTHUR BURNETT |
NPI Number: | 1457407447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS |
License Number: | 2503 |
Business Practice Address: | 180 N Date St Truth Or Consequences, NM - 879012824 |
Business Phone Number: | 5057402118 |
Business Fax Number: | |
Mailing Address: | Po Box 363, ELEPHANT BUTTE |
State: | NM |
Postal Code: | 879350363 |
Phone Number: | 5057402118 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |