Provider Demographics
NPI:1225494032
Name:KARNOPP, LYDIA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:KARNOPP
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-2152
Mailing Address - Country:US
Mailing Address - Phone:308-344-4414
Mailing Address - Fax:
Practice Address - Street 1:1500 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-2152
Practice Address - Country:US
Practice Address - Phone:308-344-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist