Burnett, Ellen
Burnett, Ellen is an individual health care provider with primary practice located at 600 Jackson St , Roanoke Rapids NC 27870-2604. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Burnett, Ellen can be contacted via phone (252) 537-6164.Contact Information
Primary practice address
600 Jackson St
Roanoke Rapids NC 27870-2604
Phone: (252) 537-6164
Fax: (252) 537-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0693 | North Carolina |
Profile Details
| NPI number | 1043502727 |
|---|---|
| LBN Legal business name | Burnett, Ellen |
| Credentials | LPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | May 12th, 2011 - about 15 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 | 1043502727 | NPPES |
| North Carolina | Other | 0693 | NC PSYCHOLOGY BOARD |
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