Provider Demographics
NPI:1831308352
Name:BURNS, BRANDY JEANE PLATT (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BRANDY
Middle Name:JEANE PLATT
Last Name:BURNS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22469 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-6877
Mailing Address - Country:US
Mailing Address - Phone:425-898-0706
Mailing Address - Fax:
Practice Address - Street 1:22469 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-6877
Practice Address - Country:US
Practice Address - Phone:425-898-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004164235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist