Provider Demographics
NPI:1124198072
Name:DEPRIEST, KARYN C (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:C
Last Name:DEPRIEST
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5288 LANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-3002
Mailing Address - Country:US
Mailing Address - Phone:812-853-9817
Mailing Address - Fax:
Practice Address - Street 1:5288 LANDVIEW DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-3002
Practice Address - Country:US
Practice Address - Phone:812-853-9817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist