Provider Demographics
NPI:1366044554
Name:STARRETT, KARISSA (HAS)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:
Last Name:STARRETT
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 US HIGHWAY 17 STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-3767
Mailing Address - Country:US
Mailing Address - Phone:912-445-4071
Mailing Address - Fax:
Practice Address - Street 1:2459 US HIGHWAY 17 STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3767
Practice Address - Country:US
Practice Address - Phone:912-445-4071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist