Doctor Name: | MRS. KATHLEEN ANN BURNETT |
NPI Number: | 1649694282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 6115 |
Business Practice Address: | 205 Nolan Pkwy Archbold, OH - 435028404 |
Business Phone Number: | 5674444800 |
Business Fax Number: | 5674444804 |
Mailing Address: | 22411 County Road F, ARCHBOLD |
State: | OH |
Postal Code: | 435029461 |
Phone Number: | 4194453409 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2014 |
NPI Last Update Date: | 02/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |