Provider Demographics
NPI:1114400892
Name:STRESSMAN, KARA DANIELLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:DANIELLE
Last Name:STRESSMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:DANIELLE
Other - Last Name:MCGREGOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:115 MILLIGAN LN
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-9242
Mailing Address - Country:US
Mailing Address - Phone:586-719-0940
Mailing Address - Fax:
Practice Address - Street 1:LAMONT ST & VETERANS WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000813231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist