Provider Demographics
NPI:1003915182
Name:JAROSZ-ILER, KAREN A (SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:JAROSZ-ILER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 WEILERS BND
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4157
Mailing Address - Country:US
Mailing Address - Phone:518-479-7293
Mailing Address - Fax:
Practice Address - Street 1:43 WEILERS BND
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4157
Practice Address - Country:US
Practice Address - Phone:518-479-7293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00007685Medicaid