Provider Demographics
NPI:1558621532
Name:CHRISTOPHER, KARA MARIE (MS)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:MARIE
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:MARIE
Other - Last Name:KELOSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:125 HOMESTEAD STREET
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117
Mailing Address - Country:US
Mailing Address - Phone:724-674-2032
Mailing Address - Fax:
Practice Address - Street 1:2400 DARLINGTON ROAD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010
Practice Address - Country:US
Practice Address - Phone:724-846-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010697235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist