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Contact Information

STACY G BURA, CCC-SLP
5050 RESEARCH COURT
STE. 800
SUWANEE, GA30024
 Phone: 770-205-5551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for STACY G BURA · (Female)

NPI Number 1023456548
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 06/06/2013
Last updated 06/06/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 14065097
  • GA License # SLP008054
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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