Provider Demographics
NPI:1508309279
Name:EPPERT, KARA AMEDEI (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:AMEDEI
Last Name:EPPERT
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 S HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2919
Mailing Address - Country:US
Mailing Address - Phone:614-269-4718
Mailing Address - Fax:
Practice Address - Street 1:160 S HAMILTON RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2919
Practice Address - Country:US
Practice Address - Phone:614-471-7065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3252586235Z00000X
235Z00000X
OHSP. 12217235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist