Provider Demographics
NPI:1629359443
Name:KOCH, KAREN F (SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:F
Last Name:KOCH
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 1:6918 COUNTY ROAD 327
Mailing Address - Street 2:
Mailing Address - City:GARRETT
Mailing Address - State:IN
Mailing Address - Zip Code:46738-9765
Mailing Address - Country:US
Mailing Address - Phone:260-226-5622
Mailing Address - Fax:
Practice Address - Street 1:6918 COUNTY ROAD 327
Practice Address - Street 2:
Practice Address - City:GARRETT
Practice Address - State:IN
Practice Address - Zip Code:46738-9765
Practice Address - Country:US
Practice Address - Phone:260-226-5622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002451A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist