Individual
MRS. HEATHER CAROLINE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
120 N ROBINSON DR, CARROLLTON, GA 30117-5966
(770) 875-3037
Mailing address
120 N ROBINSON DR, CARROLLTON, GA 30117-5966
(770) 875-3037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET003551
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012578
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/22/2022
Last updated
05/26/2023
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