Individual provider · Type 1 NPI
Ira Burnett
Health Service Psychologist · Pearl, MS
Practice location
875 MS-475
Pearl, MS 39208
Mailing address
5330 N State St Lot 118
Jackson, MS 39206-3458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 011707001029 (MS) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1104747120
Ira Burnett's National Provider Identifier is 1104747120, issued on Jul 24, 2026. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Pearl, MS. The record was last updated on Jul 24, 2026.