Provider Demographics
NPI:1104077528
Name:GREER, KARI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-1623
Mailing Address - Country:US
Mailing Address - Phone:701-492-9676
Mailing Address - Fax:
Practice Address - Street 1:317 UNIVERSITY DR S
Practice Address - Street 2:STE B
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1762
Practice Address - Country:US
Practice Address - Phone:701-261-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1051235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist