Provider Demographics
NPI:1720507825
Name:KARG, AMY NELSON (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:NELSON
Last Name:KARG
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:MURPHYSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62966-6195
Mailing Address - Country:US
Mailing Address - Phone:618-684-6061
Mailing Address - Fax:618-565-8119
Practice Address - Street 1:320 WATSON ROAD
Practice Address - Street 2:
Practice Address - City:MURPHYSBORO
Practice Address - State:IL
Practice Address - Zip Code:62966
Practice Address - Country:US
Practice Address - Phone:618-684-6061
Practice Address - Fax:618-565-8119
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist