Provider Demographics
NPI:1548507213
Name:CRISPELL, KARENINA ANN
Entity type:Individual
Prefix:
First Name:KARENINA
Middle Name:ANN
Last Name:CRISPELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARNINA
Other - Middle Name:ANN
Other - Last Name:PINEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:936 S DAVID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1816
Mailing Address - Country:US
Mailing Address - Phone:888-808-7838
Mailing Address - Fax:
Practice Address - Street 1:249 E OCEAN BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4806
Practice Address - Country:US
Practice Address - Phone:888-808-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11452355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant