Individual
CRYSTAL PATRICIA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2985 E PENNY LN, ONTARIO, CA 91761-3901
(909) 800-2280
Mailing address
2985 E PENNY LN, ONTARIO, CA 91761-3901
(909) 800-2280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22853
CA
235Z00000X
Speech-Language Pathologist
8978
CA
Other
Enumeration date
04/13/2015
Last updated
06/23/2022
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