Provider Demographics
NPI:1821302365
Name:CARFREY, KARA (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:CARFREY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:MACWHINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:2438 BLOXOM ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8483
Mailing Address - Country:US
Mailing Address - Phone:614-537-5863
Mailing Address - Fax:
Practice Address - Street 1:7100 N HIGH ST
Practice Address - Street 2:#203
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2316
Practice Address - Country:US
Practice Address - Phone:614-537-5863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP4829235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist