Healthcare Provider Details

I. General information

NPI: 1962806760
Provider Name (Legal Business Name): PAMELA JEAN KARPELENIA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAMELA JEAN OSAGIE SLPA

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 W ESPLANADE AVE S
METAIRIE LA
70002-3454
US

IV. Provider business mailing address

1919 N AGAVE LN
CASA GRANDE AZ
85122-2483
US

V. Phone/Fax

Practice location:
  • Phone: 480-668-1917
  • Fax:
Mailing address:
  • Phone: 520-450-3472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA9128
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: