Provider Demographics
NPI:1003070699
Name:GRANDE, KARA PATRICIA (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:PATRICIA
Last Name:GRANDE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 E 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4958
Mailing Address - Country:US
Mailing Address - Phone:614-563-3393
Mailing Address - Fax:
Practice Address - Street 1:3575 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3807
Practice Address - Country:US
Practice Address - Phone:303-789-2265
Practice Address - Fax:303-781-8808
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist