Provider Demographics
NPI:1780619650
Name:PRYBOCK, KARIN MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:KARIN
Middle Name:MARIE
Last Name:PRYBOCK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:510 S HIGHLAND AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4265
Mailing Address - Country:US
Mailing Address - Phone:412-716-3249
Mailing Address - Fax:412-766-7336
Practice Address - Street 1:35 N BALPH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3200
Practice Address - Country:US
Practice Address - Phone:412-761-6062
Practice Address - Fax:412-766-7336
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007069235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist