Provider Demographics
NPI:1477943827
Name:HOUSE, KAREN (MS, MT-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HOUSE
Suffix:
Gender:F
Credentials:MS, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11701 LAKE VICTORIA GARDENS AVE
Mailing Address - Street 2:#2202
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2706
Mailing Address - Country:US
Mailing Address - Phone:561-747-9944
Mailing Address - Fax:
Practice Address - Street 1:11701 LAKE VICTORIA GARDENS AVE
Practice Address - Street 2:#2202
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2706
Practice Address - Country:US
Practice Address - Phone:561-747-9944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL09266225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist