Basic Information
| Provider Information | |||||||||
| NPI: | 1831427616 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRICE-RAGIN | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS CCC/SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5026 PARKHAVEN AVE NE | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447053140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304931084 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3015 17TH ST NW | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447086004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304546508 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2009 | ||||||||
| LastUpdateDate: | 12/07/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP.8138 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.