Healthcare Provider Details

I. General information

NPI: 1477856508
Provider Name (Legal Business Name): KATHERINE JANE BEYER M.ED., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2010
Last Update Date: 12/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1958 ELM ST ROOM 310 & 311
DENVER CO
80220-1247
US

IV. Provider business mailing address

14319 W 69TH PL
ARVADA CO
80004-1087
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-4982
  • Fax:
Mailing address:
  • Phone: 708-829-3546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12126584
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: