Provider Demographics
NPI:1083338842
Name:GABICA, KARLI LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:LYNN
Last Name:GABICA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 GRAND AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-4212
Mailing Address - Country:US
Mailing Address - Phone:541-690-6563
Mailing Address - Fax:
Practice Address - Street 1:1235 GRAND AVE APT 8
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-4212
Practice Address - Country:US
Practice Address - Phone:541-690-6563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31787235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist