Provider Demographics
NPI:1962645150
Name:KUPPER LANGAN, KAREN MARY (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARY
Last Name:KUPPER LANGAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARY
Other - Last Name:KUPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS- CCC-A
Mailing Address - Street 1:1131 BROAD ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4329
Mailing Address - Country:US
Mailing Address - Phone:732-389-3388
Mailing Address - Fax:732-389-3389
Practice Address - Street 1:1131 BROAD ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4329
Practice Address - Country:US
Practice Address - Phone:732-389-3388
Practice Address - Fax:732-389-3389
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00041200231H00000X
NJ25MG00075600237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter