Individual
DR. ELIZABETH GENE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3305 BRECKINRIDGE BLVD STE 116, DULUTH, GA 30096-4932
(770) 495-9775
(770) 495-9745
Mailing address
3305 BRECKINRIDGE BLVD STE 116, DULUTH, GA 30096-4932
(770) 495-9775
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000881372H
—
GA
01
—
1316007180
GROUP NPI
GA
Enumeration date
07/17/2007
Last updated
02/12/2020
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