Provider Demographics
NPI:1568530343
Name:PICKERILL, KAROL L (SLP)
Entity Type:Individual
Prefix:MS
First Name:KAROL
Middle Name:L
Last Name:PICKERILL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:201 FIFTH
Mailing Address - City:GLENVIL
Mailing Address - State:NE
Mailing Address - Zip Code:68941-0037
Mailing Address - Country:US
Mailing Address - Phone:402-771-2505
Mailing Address - Fax:
Practice Address - Street 1:223 E 14TH ST
Practice Address - Street 2:SUITE #260
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3200
Practice Address - Country:US
Practice Address - Phone:402-460-6002
Practice Address - Fax:402-460-4770
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE639235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist