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Contact Information

MYNA L BURKS, M.S. SLP-CCC
1129 HIGHWAY 35 S STE 2
FOREST, MS39074-8829
 Phone: 601-469-1001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MYNA L BURKS · (Female)

NPI Number 1598968802
Status Active
Credentials M.S. SLP-CCC
Entity Individual
Enumeration date 06/06/2007
Last updated 10/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # SP4186
  • MS License # S3430
  • MS Medicaid 05722005
  • CA Other SP4186 STATE LICENSE NUMBER
  • MS Other S3430 MS STATE LICENSE
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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