Provider Demographics
NPI:1467721837
Name:CAFFEY, KAREN K (3349)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:CAFFEY
Suffix:
Gender:F
Credentials:3349
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 880
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-0880
Mailing Address - Country:US
Mailing Address - Phone:225-791-7788
Mailing Address - Fax:225-791-3938
Practice Address - Street 1:2346 S RANGE AVE
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5216
Practice Address - Country:US
Practice Address - Phone:225-791-7788
Practice Address - Fax:225-791-3938
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3349235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist