Provider Demographics
NPI:1386297497
Name:FLETCHER, KAREN (MS, SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9212 CAMPBELL TERRACE DR # B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1548
Mailing Address - Country:US
Mailing Address - Phone:801-471-5373
Mailing Address - Fax:
Practice Address - Street 1:235 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-7501
Practice Address - Country:US
Practice Address - Phone:907-301-9201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK148669235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty