Provider Demographics
NPI:1053795252
Name:MICHAUD, KAREN RENEE (AUD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:RENEE
Last Name:MICHAUD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:RENEE
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1555 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509
Mailing Address - Country:US
Mailing Address - Phone:616-249-8000
Mailing Address - Fax:616-249-8088
Practice Address - Street 1:1555 44TH ST SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509
Practice Address - Country:US
Practice Address - Phone:616-249-8000
Practice Address - Fax:616-249-8088
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000711231H00000X
MI16010000711231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist