| Myna Laquisha Burks, MS SLP-CCC | |
|
1129 Highway 35 S Ste 2, Forest, MS 39074-8829 | |
| (601) 469-1001 | |
| Not Available |
| Full Name | Myna Laquisha Burks |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1129 Highway 35 S Ste 2, Forest, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598968802 | NPI | - | NPPES |
| S3430 | Other | MS | MS STATE LICENSE |
| 05722005 | Medicaid | MS | |
| SP4186 | Other | CA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP4186 (California) | Secondary |
| 235Z00000X | Speech-language Pathologist | S3430 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Myna Laquisha Burks, MS SLP-CCC 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 948-1191 | Myna Laquisha Burks, MS SLP-CCC 1129 Highway 35 S Ste 2, Forest, MS 39074-8829 Ph: (601) 469-1001 |
Larita Goforth, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 | |
Paula Stacy Norman, SLT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Sarah J Jones, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Nancy G Culliver, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 717-565-1102 | |
Kaylin Mccree, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 237 N Woodland Dr Ste A, Forest, MS 39074 Phone: 601-564-8750 | |
Haley Huey Purvis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Angelia Dykeman, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 237 N Woodland Dr, Forest, MS 39074 Phone: 601-564-8750 |