Individual
JULIA A. BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
12492 KENTUCK RD, SUTHERLIN, VA 24594-3900
(276) 733-5692
Mailing address
12492 KENTUCK RD, SUTHERLIN, VA 24594-3900
(276) 733-5692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006031
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001638088
—
VA
Enumeration date
09/03/2010
Last updated
11/21/2023
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