Provider Demographics
NPI:1184871915
Name:KOCHIS-JENNINGS, KAREN ANN (CCC - SLP)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:KOCHIS-JENNINGS
Suffix:
Gender:F
Credentials:CCC - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 HYPERION AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-4705
Mailing Address - Country:US
Mailing Address - Phone:323-644-1758
Mailing Address - Fax:
Practice Address - Street 1:2019 HYPERION AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-4705
Practice Address - Country:US
Practice Address - Phone:323-644-1758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15415235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist