Provider Demographics
NPI:1124536412
Name:LOCARNO, KAREN LYNN (MACCC/SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:LOCARNO
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 SUMMERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-7908
Mailing Address - Country:US
Mailing Address - Phone:815-621-8207
Mailing Address - Fax:
Practice Address - Street 1:5620 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-6442
Practice Address - Country:US
Practice Address - Phone:815-654-4870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-20
Last Update Date:2018-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.0003094235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist