Provider Demographics
NPI:1649351107
Name:GREVER, KARL H (MS CCC-A)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:H
Last Name:GREVER
Suffix:
Gender:M
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 STATE ROAD 436 STE 104
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-4974
Mailing Address - Country:US
Mailing Address - Phone:407-331-1422
Mailing Address - Fax:
Practice Address - Street 1:400 STATE ROAD 436 STE 104
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-4974
Practice Address - Country:US
Practice Address - Phone:407-331-1422
Practice Address - Fax:407-831-2822
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY 865237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter