Individual
DIANA PATRICE BURNS-MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
4035 BAYWIND WALK NW, ACWORTH, GA 30101-7610
(504) 236-5711
Mailing address
201 EPPES ST, HOPEWELL, VA 23860-2717
(804) 541-1445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005108
VA
Other
Enumeration date
07/22/2011
Last updated
01/31/2017
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