Individual
MRS. CASON HALL BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
408 2ND ST NW, JASPER, FL 32052-5944
(386) 965-3061
Mailing address
408 2ND ST NW, JASPER, FL 32052-5944
(386) 965-3061
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA 11524
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/29/2008
Last updated
06/04/2020
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