MEDICARE: PATRICIA ANN BURK SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3130	OK

General Provider Information

NPI Number	:	1659268605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN BURK SLP

Provider Business Mailing Address
First Line	:	16009 TEESDALE RD
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-2063
Country	:	US
Telephone Number	:	405-627-0594
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NE 30TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-4409
Country	:	US
Telephone Number	:	405-627-0594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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Directions to “ PATRICIA ANN BURK SLP” Practice Location

Language	Start Address	Practice Location

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