Provider Demographics
NPI:1790959880
Name:BELGARD, KAREN LYN (AUD, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYN
Last Name:BELGARD
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:BELGARD
Other - Last Name:RUDZINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:OTOLARYNGOLOGY DEPT
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-5603
Mailing Address - Fax:414-476-4701
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:OTOLARYNGOLOGY DEPT
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-5603
Practice Address - Fax:414-476-4701
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI40-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist