Provider Demographics
NPI:1194955732
Name:BURR, COLLEEN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:BURR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 SYCAMORE SHADOWS DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1964
Mailing Address - Country:US
Mailing Address - Phone:281-650-1832
Mailing Address - Fax:281-358-3988
Practice Address - Street 1:3507 SYCAMORE SHADOWS DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1964
Practice Address - Country:US
Practice Address - Phone:281-650-1832
Practice Address - Fax:281-358-3988
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101134235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist