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NPI Code Detail

MEDICARE: MIKAELA LYNNE BURNS M.S. CCC-SLP

MEDICARE: MIKAELA LYNNE BURNS M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist111970TX

General Provider Information

NPI Number : 1225518327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAELA LYNNE BURNS M.S. CCC-SLP
Provider Business Mailing Address
First Line : 206 STORRS ST
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-4006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 206 STORRS ST
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-4006
Country : US
Telephone Number : 972-771-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ MIKAELA LYNNE BURNS M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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