Individual
DR. MYRA N BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
415 STONE ARBOR CT SW, ATLANTA, GA 30331-7652
(404) 374-6550
Mailing address
415 STONE ARBOR CT SW, ATLANTA, GA 30331-7652
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0001213
GA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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