Provider Demographics
NPI:1952037111
Name:NEVAREZ, KARINNE MARGUERITE (MS)
Entity Type:Individual
Prefix:MS
First Name:KARINNE
Middle Name:MARGUERITE
Last Name:NEVAREZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 WILLOW PASS RD STE 420
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2524
Mailing Address - Country:US
Mailing Address - Phone:925-672-9440
Mailing Address - Fax:
Practice Address - Street 1:320 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-1703
Practice Address - Country:US
Practice Address - Phone:925-672-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist