Provider Demographics
NPI:1073841805
Name:BILLINGY, KARLENE (MS CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:KARLENE
Middle Name:
Last Name:BILLINGY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5644 ASHWELL CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3674
Mailing Address - Country:US
Mailing Address - Phone:909-210-4507
Mailing Address - Fax:
Practice Address - Street 1:140 W. SAN JOSE AVE
Practice Address - Street 2:PEDIATRIC CARE SERVICES, INC.
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711
Practice Address - Country:US
Practice Address - Phone:909-621-2780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 13845235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist