Provider Demographics
NPI:1225323157
Name:HOULE, KAREN RAE (MS/CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RAE
Last Name:HOULE
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 1:15 CEDAR POND WAY
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-2126
Mailing Address - Country:US
Mailing Address - Phone:401-392-1903
Mailing Address - Fax:
Practice Address - Street 1:600 COMMONWEALTH AVENUE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2779
Practice Address - Country:US
Practice Address - Phone:401-691-4511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00277235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist