Provider Demographics
NPI:1760529887
Name:SELIG, KAREN IRENE (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:IRENE
Last Name:SELIG
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25A CRESCENT DR # 230
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-5501
Mailing Address - Country:US
Mailing Address - Phone:925-451-3711
Mailing Address - Fax:916-200-0493
Practice Address - Street 1:2 COYLE CREEK CIRCLE
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3337
Practice Address - Country:US
Practice Address - Phone:925-451-3711
Practice Address - Fax:916-200-0493
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11077235Z00000X
AZSLP5746235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist