Provider Demographics
NPI:1053788406
Name:BURSON, CATHERINE MACE (MS, BCGC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MACE
Last Name:BURSON
Suffix:
Gender:F
Credentials:MS, BCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10889 IDALIA ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9595
Mailing Address - Country:US
Mailing Address - Phone:720-939-9224
Mailing Address - Fax:
Practice Address - Street 1:2055 N HIGH ST
Practice Address - Street 2:SUITE 280
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:720-754-4905
Practice Address - Fax:720-754-4906
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS