Individual
MS. ELISABETH BURNS VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-A
Contact information
Practice address
1717 NORTH E ST, PENSACOLA, FL 32501
(850) 434-4957
Mailing address
PO BOX 475, 360 CANAL DRIVE WEST, GULF SHORES, AL 36547-0475
(251) 967-4287
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
797A
LICENSE
AL
01
—
AY859
LICENSE
FL
Enumeration date
04/26/2007
Last updated
07/08/2007
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