Provider Demographics
NPI:1841937349
Name:NEFF, KARINA LIZETH (MS SLP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:LIZETH
Last Name:NEFF
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:LIZETH
Other - Last Name:NEFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS SLP
Mailing Address - Street 1:2728 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-6317
Mailing Address - Country:US
Mailing Address - Phone:405-779-4369
Mailing Address - Fax:
Practice Address - Street 1:1407 N WHISENANT DR
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1650
Practice Address - Country:US
Practice Address - Phone:405-251-8460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCF289235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK051319981Medicaid