Provider Demographics
NPI:1083939169
Name:WEBSTER, KAREN WILSON (SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:WILSON
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908B CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2204
Mailing Address - Country:US
Mailing Address - Phone:615-327-3480
Mailing Address - Fax:615-327-0695
Practice Address - Street 1:115 WOODMONT BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2280
Practice Address - Country:US
Practice Address - Phone:615-327-3480
Practice Address - Fax:615-327-0695
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1364235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist