Provider Demographics
NPI:1104146943
Name:PIKE, KATHERINE (AUD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:PIKE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10255 TOTEM RUN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9007
Mailing Address - Country:US
Mailing Address - Phone:720-981-4761
Mailing Address - Fax:720-981-4761
Practice Address - Street 1:10255 TOTEM RUN
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9007
Practice Address - Country:US
Practice Address - Phone:720-981-4761
Practice Address - Fax:720-981-4761
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist