Provider Demographics
NPI:1811339575
Name:KERR, KARLEE WOOD (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:WOOD
Last Name:KERR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30530 AMBETH ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-5305
Mailing Address - Country:US
Mailing Address - Phone:208-520-7118
Mailing Address - Fax:
Practice Address - Street 1:928 W LEWISTON AVE
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1285
Practice Address - Country:US
Practice Address - Phone:248-496-0905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP-2637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist