MEDICARE: KATIE M SVIHLIK-BURPO BA SLPA

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	2355S0801X	Speech-Language Assistant	0462930	CO

General Provider Information

NPI Number	:	1104139930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE M SVIHLIK-BURPO BA SLPA

Provider Business Mailing Address
First Line	:	10918 MACON ST
Second Line	:
City	:	HENDERSON
State	:	CO
Zip	:	80640-7725
Country	:	US
Telephone Number	:	720-979-4309
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 BROADWAY
Second Line	:	UNIT 8C
City	:	DENVER
State	:	CO
Zip	:	80221-2915
Country	:	US
Telephone Number	:	720-979-4309
Fax Number	:

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

Provider Enumeration Date	:	07/21/2010
Last Update Date	:	01/15/2016

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