Karen K. Robertson, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Staunton, IL
NPI 1619253150 · NPPES record last updated Oct 28, 2011
Key facts
- NPI
- 1619253150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146004584 (IL)
- Practice address
- 204 E Leonard St
Staunton, IL 62088-1229 - Phone
- (613) 635-2793
- Fax
- (618) 635-4637
- NPI assigned
- Oct 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146004584 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146004584 | IL | Yes |
Addresses
Primary practice location
204 E Leonard St
Staunton, IL 62088-1229
Mailing address
204 E Leonard St
Staunton, IL 62088-1229
Phone (613) 635-2793
Other providers in Staunton, IL
- Brady Joseph Moore
- Janene Marie Parmentier
- Tyler Peteron
- Nicolas C Pineda
- Mia Lynn Rhodes
- Jeffrey D Roller
- Lisa Ann Scanzoni
- Kaylee Ann Seelbach
- Amanda Jane Settles
- Bryan Siegfried
All providers in Staunton, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.