Individual
VELLA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 AVENUE B, MADISON, WV 25130-1162
(304) 369-3131
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
(304) 766-7655
(304) 755-2824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
E4L115300114
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155844000
—
WV
Enumeration date
11/07/2013
Last updated
11/07/2013
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