Provider Demographics
NPI:1457961260
Name:BURDICK, SUNNY RENEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:RENEE
Last Name:BURDICK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:RENEE
Other - Last Name:BURDICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SUNNY BARTHA
Mailing Address - Street 1:3817 MARYSVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-5204
Mailing Address - Country:US
Mailing Address - Phone:480-298-6490
Mailing Address - Fax:
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4200
Practice Address - Country:US
Practice Address - Phone:916-843-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006681231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist