Provider Demographics
NPI:1831427616
Name:GRICE-RAGIN, KAREN (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:GRICE-RAGIN
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 1:5026 PARKHAVEN AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-3140
Mailing Address - Country:US
Mailing Address - Phone:330-493-1084
Mailing Address - Fax:
Practice Address - Street 1:3015 17TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-6004
Practice Address - Country:US
Practice Address - Phone:330-454-6508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.8138235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist