Individual
LAWANDA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
EMORY HEALTHCARE-CENTER FOR REHAB MEDICINE, 1441 CLIFTON RD,N.E., ATLANTA, GA 30322-0001
(404) 712-4838
Mailing address
2185 ASQUITH AVE SW, MARIETTA, GA 30008-6098
(678) 567-0829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003300
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003300
STATE BOARD OF EXAMINERS
GA
Enumeration date
07/11/2007
Last updated
07/11/2007
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