MEDICARE: MRS. KAREN ANN MAGERKO M.A., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA11497	FL
2	235Z00000X	Speech-Language Pathologist	SP-5931	OH

General Provider Information

NPI Number	:	1558527754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN ANN MAGERKO M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	18091 REGAN AVE
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-4941
Country	:	US
Telephone Number	:	440-231-3246
Fax Number	:

Provider Business Practice Location Address
First Line	:	18091 REGAN AVE
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-4941
Country	:	US
Telephone Number	:	440-231-3246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	12/11/2018

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Directions to “ MRS. KAREN ANN MAGERKO M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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