Provider Demographics
NPI:1578706412
Name:STENDAHL, KAREN MARIE (MS CCC/SLP, RMT, CH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:STENDAHL
Suffix:
Gender:F
Credentials:MS CCC/SLP, RMT, CH
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 18835
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78760-8835
Mailing Address - Country:US
Mailing Address - Phone:512-916-4256
Mailing Address - Fax:512-916-4205
Practice Address - Street 1:401 LITTLE TEXAS LN APT 626
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-4112
Practice Address - Country:US
Practice Address - Phone:512-916-4256
Practice Address - Fax:512-916-4205
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist