Provider Demographics
NPI:1922346592
Name:GRICE, KAREN E (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:E
Last Name:GRICE
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 1:19624 SE 30TH WAY
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-9440
Mailing Address - Country:US
Mailing Address - Phone:360-210-5228
Mailing Address - Fax:
Practice Address - Street 1:19624 SE 30TH WAY
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-9440
Practice Address - Country:US
Practice Address - Phone:360-210-5228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist