Healthcare Provider Details

I. General information

NPI: 1861312779
Provider Name (Legal Business Name): SHEILA BURKHARDT MA, CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 B STATE ROUTE 821
MARIETTA OH
45750
US

IV. Provider business mailing address

280 WYNNCREST DR
MARIETTA OH
45750-6575
US

V. Phone/Fax

Practice location:
  • Phone: 740-373-2766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.16630
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: