| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PATRICIA BURNSIDE | 1255940359 | 2020-07-24 |
Patricia Burnside is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255940359. Registration indicates Patricia Burnside is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Specialist/Technologist (Specialist/Technologist: Speech-Language Assistant, ) (Specialist/Technologist Speech-Language Assistant, Speech, Language and Hearing Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Patricia Burnside |
| Practice Office Address | 3409 W MARLENE ST TUCSON, AZ US |
| Practice Office Telephone | 5203090955 |
| Mailing Address | 3409 W MARLENE ST TUCSON, AZ 857412073 US |
| Business Telephone | 5203090955 |
| SOAP URL [] | https://provider.therapycorner.com/ | Direct |
| Code | Practice | License No State |
|---|---|---|
| 2355S0801X PRIMARY | Speech, Language and Hearing Service Providers Specialist/Technologist Specialist/Technologist: Speech-Language Assistant Specialist/Technologist Speech-Language Assistant Speech, Language and Hearing Service Providers Specialist/Technologist | SLPA12352
AZ |