Provider Demographics
NPI:1518843713
Name:BURCH, SAVANNA KAITLYN (SLP-CFY)
Entity type:Individual
Prefix:
First Name:SAVANNA
Middle Name:KAITLYN
Last Name:BURCH
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:SAVANNA
Other - Middle Name:KAITLYN
Other - Last Name:CREEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 MESA DR APT A
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-6633
Mailing Address - Country:US
Mailing Address - Phone:714-679-8590
Mailing Address - Fax:
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-5415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20864235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist