Provider Demographics
NPI:1932300852
Name:BOND, KAREN S (MA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:BOND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 NEZ PERCE DR
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-8308
Mailing Address - Country:US
Mailing Address - Phone:602-696-3077
Mailing Address - Fax:307-587-9060
Practice Address - Street 1:502 19TH ST
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3325
Practice Address - Country:US
Practice Address - Phone:602-696-3077
Practice Address - Fax:307-587-9060
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist