Healthcare Provider Details

I. General information

NPI: 1518480318
Provider Name (Legal Business Name): KARA KRIETE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8975 GUILFORD RD STE 190
COLUMBIA MD
21046-2386
US

IV. Provider business mailing address

8975 GUILFORD RD STE 190
COLUMBIA MD
21046-2386
US

V. Phone/Fax

Practice location:
  • Phone: 202-670-2368
  • Fax:
Mailing address:
  • Phone: 202-670-2368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number08684
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: