Basic Information
| Provider Information | |||||||||
| NPI: | 1265756662 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPINA | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4949 TAMIAMI TRL N | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341033027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2396432040 | ||||||||
| FaxNumber: | 2396432080 | ||||||||
| Practice Location | |||||||||
| Address1: | 3841 TAMIAMI TRL E | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341126201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2397329094 | ||||||||
| FaxNumber: | 2397329098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2010 | ||||||||
| LastUpdateDate: | 03/15/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SA 7268 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.