Provider Demographics
NPI:1487875217
Name:STAHR, KAREN ELIZABETH (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:STAHR
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 1:2309 GRAND AVE.
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE,
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2180
Mailing Address - Country:US
Mailing Address - Phone:219-616-9003
Mailing Address - Fax:
Practice Address - Street 1:2309 GRAND AVE.
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE,
Practice Address - State:IN
Practice Address - Zip Code:46375-2180
Practice Address - Country:US
Practice Address - Phone:219-616-9003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22001713A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist