Provider Demographics
NPI:1700291887
Name:ROSS, KAREN (SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ROSS
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 1:305 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4101
Mailing Address - Country:US
Mailing Address - Phone:513-874-6789
Mailing Address - Fax:513-874-6787
Practice Address - Street 1:305 CAMERON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4101
Practice Address - Country:US
Practice Address - Phone:513-874-6789
Practice Address - Fax:513-874-6787
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP3284235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist