Provider Demographics
NPI:1104029123
Name:SYKES, KARI BECKER (CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:BECKER
Last Name:SYKES
Suffix:
Gender:F
Credentials:CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 WOODLAND HILLS AVE NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-3065
Mailing Address - Country:US
Mailing Address - Phone:404-931-4628
Mailing Address - Fax:
Practice Address - Street 1:310 TECHNOLOGY PKWY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-2932
Practice Address - Country:US
Practice Address - Phone:770-321-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006303235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist