Provider Demographics
NPI:1104139930
Name:SVIHLIK-BURPO, KATIE M (BA SLPA)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:M
Last Name:SVIHLIK-BURPO
Suffix:
Gender:F
Credentials:BA SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10918 MACON ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:CO
Mailing Address - Zip Code:80640-7725
Mailing Address - Country:US
Mailing Address - Phone:720-979-4309
Mailing Address - Fax:
Practice Address - Street 1:7100 BROADWAY
Practice Address - Street 2:UNIT 8C
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-2915
Practice Address - Country:US
Practice Address - Phone:720-979-4309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04629302355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant