Provider Demographics
NPI:1063715993
Name:GARWOOD, KAREN ELIZABETH (MA,CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:GARWOOD
Suffix:
Gender:F
Credentials:MA,CCC-SLP/L
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:KRUG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC-SLP/L
Mailing Address - Street 1:1517 LITTLE KITTEN AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-7578
Mailing Address - Country:US
Mailing Address - Phone:785-776-0544
Mailing Address - Fax:
Practice Address - Street 1:1517 LITTLE KITTEN AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-7578
Practice Address - Country:US
Practice Address - Phone:785-776-0544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS257235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist