Provider Demographics
NPI:1417296484
Name:FISHER, KAREN TURNER (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:TURNER
Last Name:FISHER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 SANDSTONE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8284
Mailing Address - Country:US
Mailing Address - Phone:803-781-4203
Mailing Address - Fax:
Practice Address - Street 1:207 SANDSTONE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-8284
Practice Address - Country:US
Practice Address - Phone:803-781-4203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist