Provider Demographics
NPI:1033258140
Name:THOMPSON, KAREN ALLEN (MED,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ALLEN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MED,CCC-SLP
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:ANNETTE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED,CCC-SLP
Mailing Address - Street 1:738 ISLAND CREEK ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-9112
Mailing Address - Country:US
Mailing Address - Phone:252-431-1936
Mailing Address - Fax:
Practice Address - Street 1:738 ISLAND CREEK ESTATES RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27537-9112
Practice Address - Country:US
Practice Address - Phone:252-431-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist