Provider Demographics
NPI:1407874654
Name:AHLBRAND, KAREN P (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:AHLBRAND
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 1:900 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-3752
Mailing Address - Country:US
Mailing Address - Phone:765-747-1001
Mailing Address - Fax:
Practice Address - Street 1:SPEECH PATHOLOGY AUDIOLOGY
Practice Address - Street 2:BALL STATE UNIVERSITY AC 104
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47306-0001
Practice Address - Country:US
Practice Address - Phone:765-285-8174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22001814A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist