Provider Demographics
NPI:1649307059
Name:BORCHERT, KARLA GAY (LINCENSED SLP)
Entity type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:GAY
Last Name:BORCHERT
Suffix:
Gender:F
Credentials:LINCENSED SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1909 N RIDGE RD E STE 6
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3379
Mailing Address - Country:US
Mailing Address - Phone:440-277-7337
Mailing Address - Fax:440-277-7339
Practice Address - Street 1:1909 N RIDGE RD E STE 6
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-3379
Practice Address - Country:US
Practice Address - Phone:440-277-7337
Practice Address - Fax:440-277-7339
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHSP-0273235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0849916Medicaid