Provider Demographics
NPI:1093969644
Name:MOWERS, KAREN M (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:MOWERS
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 1:8820 BLOOMING ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5602
Mailing Address - Country:US
Mailing Address - Phone:704-619-2167
Mailing Address - Fax:704-948-6963
Practice Address - Street 1:8820 BLOOMING ARBOR ST
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5602
Practice Address - Country:US
Practice Address - Phone:704-619-2167
Practice Address - Fax:704-948-6963
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC741060CMedicaid