Provider Demographics
NPI:1790506905
Name:KARTZ, ALISON MARIE (HIS)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MARIE
Last Name:KARTZ
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:MISS
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:922 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-4466
Mailing Address - Country:US
Mailing Address - Phone:574-243-7766
Mailing Address - Fax:574-243-7796
Practice Address - Street 1:922 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-4466
Practice Address - Country:US
Practice Address - Phone:574-243-7766
Practice Address - Fax:574-243-7796
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001659A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist