Provider Demographics
NPI:1700916483
Name:DIMMICK, KARI D
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:D
Last Name:DIMMICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-6542
Mailing Address - Country:US
Mailing Address - Phone:814-236-0740
Mailing Address - Fax:
Practice Address - Street 1:1888 RIVER RD
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-6542
Practice Address - Country:US
Practice Address - Phone:814-236-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006318L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist