Provider Demographics
NPI:1407177827
Name:KNOWLES, KARA LEE (SLP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:LEE
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LEE
Other - Last Name:HERZOG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 BLACKFORD ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-1405
Mailing Address - Country:US
Mailing Address - Phone:423-778-6410
Mailing Address - Fax:423-778-2275
Practice Address - Street 1:910 BLACKFORD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-1405
Practice Address - Country:US
Practice Address - Phone:423-778-6410
Practice Address - Fax:423-778-2275
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5502160235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist