Provider Demographics
NPI:1245615970
Name:PFLEIDER, KARINA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:PFLEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 EARLHAM ST
Mailing Address - Street 2:#13
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1260
Mailing Address - Country:US
Mailing Address - Phone:626-780-3931
Mailing Address - Fax:
Practice Address - Street 1:780 EARLHAM ST
Practice Address - Street 2:#13
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1260
Practice Address - Country:US
Practice Address - Phone:626-780-3931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21090235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist