Provider Demographics
NPI:1679768444
Name:DOYLE, KAREN SPICER (MS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SPICER
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 E 56TH AVE
Mailing Address - Street 2:APT. #104
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1611
Mailing Address - Country:US
Mailing Address - Phone:907-720-6888
Mailing Address - Fax:
Practice Address - Street 1:4048 LAUREL ST
Practice Address - Street 2:SUITE #303
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5389
Practice Address - Country:US
Practice Address - Phone:907-562-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKT17235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist