Provider Demographics
NPI:1205207677
Name:SUAREZ, KAREN W (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:W
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GARRITY CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4258
Mailing Address - Country:US
Mailing Address - Phone:919-360-9115
Mailing Address - Fax:
Practice Address - Street 1:105 GARRITY CT
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4258
Practice Address - Country:US
Practice Address - Phone:919-360-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7270235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist