Provider Demographics
NPI:1629335310
Name:BURNEY, SYNDA DAWN
Entity Type:Individual
Prefix:
First Name:SYNDA
Middle Name:DAWN
Last Name:BURNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5957 S MOONEY BLVD
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-9394
Mailing Address - Country:US
Mailing Address - Phone:559-624-8000
Mailing Address - Fax:559-713-3244
Practice Address - Street 1:657 E TULARE AVE
Practice Address - Street 2:APT A
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-3651
Practice Address - Country:US
Practice Address - Phone:559-623-0485
Practice Address - Fax:559-737-4001
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health