Provider Demographics
NPI:1497921910
Name:BURNETT, LEIGH LAWRENCE (AUD, MCD)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:LAWRENCE
Last Name:BURNETT
Suffix:
Gender:F
Credentials:AUD, MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PELHAM TOWNE CENTER
Mailing Address - Street 2:389 HUNTLEY PARKWAY
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124
Mailing Address - Country:US
Mailing Address - Phone:205-922-5574
Mailing Address - Fax:205-685-2984
Practice Address - Street 1:PELHAM TOWNE CENTER
Practice Address - Street 2:389 HUNTLEY PARKWAY
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124
Practice Address - Country:US
Practice Address - Phone:205-922-5574
Practice Address - Fax:205-685-2984
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL634A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist