Provider Demographics
NPI:1720504806
Name:PICKREL, KARA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:PICKREL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5731 MARMION LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1924
Mailing Address - Country:US
Mailing Address - Phone:815-474-5089
Mailing Address - Fax:
Practice Address - Street 1:6307 S MASON MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3716
Practice Address - Country:US
Practice Address - Phone:513-459-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist