Doctor Name: | KAREN BRAGG |
NPI Number: | 1134306061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DSLP |
License Number: | |
Business Practice Address: | 2101 Sardis Rd N Suite 112 Charlotte, NC - 282277711 |
Business Phone Number: | 7048456134 |
Business Fax Number: | 7048458024 |
Mailing Address: | Po Box 49663, CHARLOTTE |
State: | NC |
Postal Code: | 282770082 |
Phone Number: | 7048456134 |
Fax Number: | 7048458024 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |