Provider Demographics
NPI:1194845412
Name:HAGEN-PILKINTON, KAROL (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:HAGEN-PILKINTON
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 TANYARD SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6131
Mailing Address - Country:US
Mailing Address - Phone:615-794-9542
Mailing Address - Fax:
Practice Address - Street 1:1647 MALLORY LN
Practice Address - Street 2:STE. 103
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2909
Practice Address - Country:US
Practice Address - Phone:615-661-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist