Individual
ALLYSON HAVIG BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9837 E OSAGE AVE, MESA, AZ 85212-2114
(480) 773-8014
Mailing address
9837 E OSAGE AVE, MESA, AZ 85212-2114
(480) 773-8014
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA8172
SLPA LICENSE
AZ
Enumeration date
01/15/2013
Last updated
01/15/2013
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