Provider Demographics
NPI:1114363777
Name:SIRIANNI, KARI MICHELLE (CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:KARI
Middle Name:MICHELLE
Last Name:SIRIANNI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 SAWDUST RD
Mailing Address - Street 2:STE 105
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2929
Mailing Address - Country:US
Mailing Address - Phone:281-719-5060
Mailing Address - Fax:281-719-5962
Practice Address - Street 1:1544 SAWDUST RD
Practice Address - Street 2:STE 105
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2929
Practice Address - Country:US
Practice Address - Phone:281-719-5060
Practice Address - Fax:281-719-5962
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100085235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist