Provider Demographics
NPI:1679617120
Name:ROMSTAD-EOFF, KARENA L (MA SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARENA
Middle Name:L
Last Name:ROMSTAD-EOFF
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 HAWK RUN DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-3780
Mailing Address - Country:US
Mailing Address - Phone:636-239-7810
Mailing Address - Fax:
Practice Address - Street 1:208 SHERRY RD
Practice Address - Street 2:
Practice Address - City:LABADIE
Practice Address - State:MO
Practice Address - Zip Code:63055-1042
Practice Address - Country:US
Practice Address - Phone:636-239-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist