Provider Demographics
NPI:1710074372
Name:FARRAR, KAREN (MA, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:FARRAR
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8929 BRECKSVILLE RD
Mailing Address - Street 2:BACK
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2301
Mailing Address - Country:US
Mailing Address - Phone:440-546-1121
Mailing Address - Fax:
Practice Address - Street 1:8929 BRECKSVILLE RD
Practice Address - Street 2:BACK
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2301
Practice Address - Country:US
Practice Address - Phone:440-546-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00725231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist