Provider Demographics
NPI:1164997995
Name:HAND, KAREN SUE
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:HAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10397 STATE ROUTE 155 SE
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:OH
Mailing Address - Zip Code:43730-9710
Mailing Address - Country:US
Mailing Address - Phone:740-721-0521
Mailing Address - Fax:
Practice Address - Street 1:10397 STATE ROUTE 155 SE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:OH
Practice Address - Zip Code:43730-9710
Practice Address - Country:US
Practice Address - Phone:740-721-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6604235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist