Healthcare Provider Details

I. General information

NPI: 1265615215
Provider Name (Legal Business Name): KAREN SUE ROMIE SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN SUE NAGEL SLP

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6923 DUTCHLAND PKWY
LIBERTY TWP OH
45044-9029
US

IV. Provider business mailing address

5572 PRINCETON RD
LIBERTY TWP OH
45011-9726
US

V. Phone/Fax

Practice location:
  • Phone: 513-779-7775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2007181
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: