Provider Demographics
NPI:1861031379
Name:DEABLER, KAREN A (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:DEABLER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:14207 E HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-1727
Mailing Address - Country:US
Mailing Address - Phone:913-710-3891
Mailing Address - Fax:
Practice Address - Street 1:3636 N RIDGE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1213
Practice Address - Country:US
Practice Address - Phone:316-462-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-31
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty