Most Relevant Information
Provider Data
| NPI Number: | 1003821489 |
| Provider Name: | LAURIE MARIE BURNETT M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2202003834 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 02/27/2019 |
Provider Practice Location
585 WILEY CT
MERRITT ISLAND
FL
329525853
Practice Location Phone/Fax
| Phone: | 3219170297 |
| Fax: |
Provider Mailing Location
585 WILEY CT
MERRITT ISLAND
FL
329525853
Provider Mailing Phone/Fax
| Phone: | 3219170297 |
| Fax: |