Provider Demographics
NPI:1619204518
Name:HOWARD, KARIN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA, 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:PO BOX 17263
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91416-7263
Mailing Address - Country:US
Mailing Address - Phone:818-705-3466
Mailing Address - Fax:818-345-6963
Practice Address - Street 1:17636 GILMORE ST
Practice Address - Street 2:
Practice Address - City:LAKE BALBOA
Practice Address - State:CA
Practice Address - Zip Code:91406-5309
Practice Address - Country:US
Practice Address - Phone:818-705-3466
Practice Address - Fax:818-345-6963
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP8114235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist