Provider Demographics
NPI:1255096228
Name:MALONE, KAREN REINHARD
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:REINHARD
Last Name:MALONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26062 CORNELIUS DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-6362
Mailing Address - Country:US
Mailing Address - Phone:276-365-8615
Mailing Address - Fax:
Practice Address - Street 1:26062 CORNELIUS DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-6362
Practice Address - Country:US
Practice Address - Phone:276-365-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7447235Z00000X
VA2202005880235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist