Provider Demographics
NPI:1881074219
Name:STOTT, KAREN (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:STOTT
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4763 INDIGO PL
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-6000
Mailing Address - Country:US
Mailing Address - Phone:407-718-3193
Mailing Address - Fax:
Practice Address - Street 1:4763 INDIGO PL
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-6000
Practice Address - Country:US
Practice Address - Phone:407-718-3193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.017463235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist