Provider Demographics
NPI:1134303464
Name:BOROS, KAREN MARIE (SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:BOROS
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 1:10700 FRANKSTOWN ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3066
Mailing Address - Country:US
Mailing Address - Phone:412-371-4090
Mailing Address - Fax:412-371-4182
Practice Address - Street 1:10700 FRANKSTOWN RD
Practice Address - Street 2:SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3049
Practice Address - Country:US
Practice Address - Phone:412-371-4090
Practice Address - Fax:412-371-4182
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL001905L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101366202-0001Medicaid