Provider Demographics
NPI:1407182074
Name:KARREN, IRENE
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:KARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3580 W 9000 S
Mailing Address - Street 2:C/O JORDAN VALLEY MEDICAL CENTER
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-8812
Mailing Address - Country:US
Mailing Address - Phone:801-561-8888
Mailing Address - Fax:801-569-8723
Practice Address - Street 1:3580 W 9000 S
Practice Address - Street 2:C/O JORDAN VALLEY MEDICAL CENTER
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-8812
Practice Address - Country:US
Practice Address - Phone:801-561-8888
Practice Address - Fax:801-569-8723
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT110204-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist