Provider Demographics
NPI:1275976078
Name:GREGORY, KAREN OWINGS (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:OWINGS
Last Name:GREGORY
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 MUD BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:SC
Mailing Address - Zip Code:29321-2408
Mailing Address - Country:US
Mailing Address - Phone:864-427-7531
Mailing Address - Fax:
Practice Address - Street 1:218 MONARCH SCHOOL DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-8247
Practice Address - Country:US
Practice Address - Phone:864-429-1733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5081235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist