Provider Demographics
NPI:1396961868
Name:BURRE, ANN MARIE (MA)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:BURRE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:WALCEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:5333 HOLLISTER AVE
Mailing Address - Street 2:STE 155
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2444
Mailing Address - Country:US
Mailing Address - Phone:805-967-4200
Mailing Address - Fax:
Practice Address - Street 1:1919 STATE STREET
Practice Address - Street 2:#302
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8450
Practice Address - Country:US
Practice Address - Phone:805-563-9814
Practice Address - Fax:805-563-9838
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2863237600000X
CAAU1181231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter