Burnett-Haisten, Judith Lea

Burnett-Haisten, Judith Lea is an sole proprietor health care provider with primary practice located at 100 Westside Dr. Child & Family Services, Dothan AL 36303. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burnett-Haisten, Judith Lea can be contacted via phone (334) 793-2237.

Contact Information

Primary practice address
100 Westside Dr. Child & Family Services Dothan AL 36303
Phone: (334) 793-2237
Fax: (334) 712-6256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2963 Alabama

Profile Details

NPI number 1114252251
LBN Legal business name Burnett-Haisten, Judith Lea
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2009
Last updated Jan 2nd, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114252251 NPPES
Alabama MEDICAID 136080
Alabama Other 511-13046

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