Provider Demographics
NPI:1194938993
Name:COMER, KARI B (SLP)
Entity type:Individual
Prefix:MISS
First Name:KARI
Middle Name:B
Last Name:COMER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8203 PARKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5407
Mailing Address - Country:US
Mailing Address - Phone:205-789-7089
Mailing Address - Fax:770-645-1313
Practice Address - Street 1:11111 HOUZE RD STE 101
Practice Address - Street 2:COBBLESTONE THERAPY GROUP
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1464
Practice Address - Country:US
Practice Address - Phone:770-998-9599
Practice Address - Fax:770-645-1313
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2018-10-04
Deactivation Date:2012-04-02
Deactivation Code:
Reactivation Date:2018-10-04
Provider Licenses
StateLicense IDTaxonomies
GASLP006533235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist