Provider Demographics
NPI:1588296776
Name:REINOEHL, KAREN-ANN (MA, CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:KAREN-ANN
Middle Name:
Last Name:REINOEHL
Suffix:
Gender:F
Credentials:MA, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BANTERY RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3734
Mailing Address - Country:US
Mailing Address - Phone:610-832-8062
Mailing Address - Fax:
Practice Address - Street 1:114 BANTERY RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-3734
Practice Address - Country:US
Practice Address - Phone:610-832-8062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0012266235Z00000X
PASL008816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist