Healthcare Provider Details

I. General information

NPI: 1710806229
Provider Name (Legal Business Name): KARINA ISABEL ROSA GARCIA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 BETHLEHEM PL
BROOKLYN MD
21225-3692
US

IV. Provider business mailing address

131 BETHLEHEM PL
BROOKLYN MD
21225-3692
US

V. Phone/Fax

Practice location:
  • Phone: 939-640-4657
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number00186A
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: