Provider Demographics
NPI:1275673014
Name:SZUDY, KAREN B (SLP, MS,CCC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:B
Last Name:SZUDY
Suffix:
Gender:F
Credentials:SLP, MS,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3556 E NUGGET CANYON PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-2214
Mailing Address - Country:US
Mailing Address - Phone:520-299-0761
Mailing Address - Fax:520-232-8001
Practice Address - Street 1:5330 E GLENN ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1319
Practice Address - Country:US
Practice Address - Phone:520-232-8000
Practice Address - Fax:520-232-8001
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ594889Medicaid