Provider Demographics
NPI:1790433639
Name:GARCIA MENDOZA, KARLA (BS)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:GARCIA MENDOZA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 S 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-3102
Mailing Address - Country:US
Mailing Address - Phone:520-807-9668
Mailing Address - Fax:520-807-9575
Practice Address - Street 1:5660 S 12TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-3102
Practice Address - Country:US
Practice Address - Phone:520-807-9668
Practice Address - Fax:520-807-9575
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ136882355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant