Provider Demographics
NPI:1518293273
Name:BABSON, KAREN (MA;CCC SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BABSON
Suffix:
Gender:F
Credentials:MA;CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S MAYS ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6707
Mailing Address - Country:US
Mailing Address - Phone:512-305-3370
Mailing Address - Fax:
Practice Address - Street 1:1600 OLD SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4535
Practice Address - Country:US
Practice Address - Phone:518-791-6637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009622235Z00000X
TX108276235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX313125202Medicaid