Provider Demographics
NPI:1578833646
Name:DEBANO-BURNS, DEE ANN (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DEE
Middle Name:ANN
Last Name:DEBANO-BURNS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:DEE
Other - Middle Name:ANN
Other - Last Name:DEBANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCC-SLP
Mailing Address - Street 1:901 LAKEPOINT DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:KS
Mailing Address - Zip Code:67010-2423
Mailing Address - Country:US
Mailing Address - Phone:316-775-6333
Mailing Address - Fax:316-775-6330
Practice Address - Street 1:901 LAKEPOINT DRIVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-2423
Practice Address - Country:US
Practice Address - Phone:316-775-6333
Practice Address - Fax:316-775-6330
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist