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NPI Code Detail

MEDICARE: REBECCA ELAINE BURTON CCC-SLP

MEDICARE: REBECCA ELAINE BURTON CCC-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
1235Z00000XSpeech-Language PathologistSLP0003379CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SLP0003379OTHERCODORA

General Provider Information

NPI Number : 1124387964
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ELAINE BURTON CCC-SLP
Provider Business Mailing Address
First Line : 805 DAHLIA ST APT 12
Second Line :
City : DENVER
State : CO
Zip : 80220-4216
Country : US
Telephone Number : 480-383-3910
Fax Number :
Provider Business Practice Location Address
First Line : 8354 E NORTHFIELD BLVD UNIT 3700
Second Line :
City : DENVER
State : CO
Zip : 80238-3135
Country : US
Telephone Number : 720-709-4739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2012
Last Update Date : 07/19/2019

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Directions to “ REBECCA ELAINE BURTON CCC-SLP” Practice Location

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