Provider Demographics
NPI:1912250648
Name:KNISPEL-SINDT, KAROL JUNE (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:JUNE
Last Name:KNISPEL-SINDT
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 36TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-2626
Mailing Address - Country:US
Mailing Address - Phone:712-258-9270
Mailing Address - Fax:
Practice Address - Street 1:400 36TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-2626
Practice Address - Country:US
Practice Address - Phone:712-258-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA889235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist