Provider Demographics
NPI:1326832213
Name:MCBURNEY, OLIVIA NANNETTE
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:NANNETTE
Last Name:MCBURNEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 ROYAL BLVD S
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4427
Mailing Address - Country:US
Mailing Address - Phone:404-277-2780
Mailing Address - Fax:
Practice Address - Street 1:3050 ROYAL BLVD S
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-4427
Practice Address - Country:US
Practice Address - Phone:404-277-2780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist