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Individual

MRS. HEIDI BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2835 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1662
(719) 533-1318
(719) 533-1319
Mailing address
2360 MONTEBELLO SQUARE DR, COLORADO SPRINGS, CO 80918-6977
(719) 460-8386
(719) 522-0159

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01113646
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000176621
CO
Enumeration date
09/10/2007
Last updated
09/10/2020
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