Provider Demographics
NPI:1275934960
Name:NOVINGER, KARIN JOY (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:JOY
Last Name:NOVINGER
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18906 ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2661
Mailing Address - Country:US
Mailing Address - Phone:301-791-0172
Mailing Address - Fax:
Practice Address - Street 1:18906 ROLLING RD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2661
Practice Address - Country:US
Practice Address - Phone:301-791-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD674143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist