Provider Demographics
NPI:1346078904
Name:BURR, DOROTHY JEANNE
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:JEANNE
Last Name:BURR
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 1:3271 PERSIA CIR SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-3822
Mailing Address - Country:US
Mailing Address - Phone:330-204-0156
Mailing Address - Fax:
Practice Address - Street 1:3271 PERSIA CIR SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-3822
Practice Address - Country:US
Practice Address - Phone:330-204-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services