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Contact Information

STACY L BURNETT, M.A. CCC/SLP
2495 HWY 899
MALLIE, KY41836
 Phone: 606-438-5431
 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 L BURNETT · (Female)

NPI Number 1609526417
Status Active
Credentials M.A. CCC/SLP
Entity Individual
Enumeration date 03/25/2022
Last updated 03/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # KY-3215
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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