Burnett, Elizabeth Gene
Burnett, Elizabeth Gene is an individual health care provider with primary practice located at 3305 Breckinridge Blvd Ste 116 , Duluth GA 30096-4932. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burnett, Elizabeth Gene can be contacted via phone (770) 495-9775.Contact Information
Primary practice address
3305 Breckinridge Blvd Ste 116
Duluth GA 30096-4932
Phone: (770) 495-9775
Fax: (770) 495-9745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002443 | Georgia |
Profile Details
| NPI number | 1548469695 |
|---|---|
| LBN Legal business name | Burnett, Elizabeth Gene |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Feb 12th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548469695 | NPPES |
| Georgia | MEDICAID | 000881372H | |
| Georgia | Other | 1316007180 |
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