Provider Demographics
NPI:1306463468
Name:BLANDINO, KARA PAIGE (AUD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:PAIGE
Last Name:BLANDINO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:PAIGE
Other - Last Name:MAGLIOCCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1909 WATERFRONT PL APT 531
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-5726
Mailing Address - Country:US
Mailing Address - Phone:412-719-0479
Mailing Address - Fax:
Practice Address - Street 1:20820 ROUTE 19 STE A
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6006
Practice Address - Country:US
Practice Address - Phone:724-779-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006648231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist