Individual
KAREN SHEPPARD-NENE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2642 GLENWOOD PARK AVE, ERIE, PA 16508-1811
(814) 451-0940
Mailing address
2642 GLENWOOD PARK AVE, ERIE, PA 16508-1811
(814) 323-1262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002438L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014959040002
—
PA
01
—
002438L
HEALTH AMERICA/HEALTH ASS
PA
01
—
486390
KEYSTONE WEST
PA
01
—
AL486390
HIGHMARK BLUE CROSS/BLUE
PA
Enumeration date
10/08/2005
Last updated
07/09/2007
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