Provider Demographics
NPI:1043377864
Name:WOOD, KAREN P (MED)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:P
Last Name:WOOD
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LEWIS RUN RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15122
Mailing Address - Country:US
Mailing Address - Phone:412-466-0101
Mailing Address - Fax:412-466-0642
Practice Address - Street 1:500 LEWIS RUN RD
Practice Address - Street 2:SUITE 114
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122
Practice Address - Country:US
Practice Address - Phone:412-466-0101
Practice Address - Fax:412-466-0642
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001106L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAW01453836OtherHIGHMARK BLUE SHIELD
PA083728RX4Medicare ID - Type Unspecified