Provider Demographics
NPI:1003021023
Name:BECK, KARA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10708 90TH ST NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-8960
Mailing Address - Country:US
Mailing Address - Phone:425-232-8759
Mailing Address - Fax:775-878-3054
Practice Address - Street 1:10708 90TH ST NE
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-8960
Practice Address - Country:US
Practice Address - Phone:425-232-8759
Practice Address - Fax:775-878-3054
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003087235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist