Provider Demographics
NPI:1225761802
Name:SAECHAO, KARINA R (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:R
Last Name:SAECHAO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2220
Mailing Address - Country:US
Mailing Address - Phone:510-875-8454
Mailing Address - Fax:
Practice Address - Street 1:405 SIERRA DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2220
Practice Address - Country:US
Practice Address - Phone:510-875-8454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24259235Z00000X
KS4953235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist