Provider Demographics
NPI:1477856508
Name:BEYER, KATHERINE JANE (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JANE
Last Name:BEYER
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14319 W 69TH PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-1087
Mailing Address - Country:US
Mailing Address - Phone:708-829-3546
Mailing Address - Fax:
Practice Address - Street 1:1958 ELM ST
Practice Address - Street 2:ROOM 310 & 311
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1247
Practice Address - Country:US
Practice Address - Phone:303-333-4982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-12
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12126584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist