Provider Demographics
NPI:1598484321
Name:TOOMER, KAREN A (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:A
Last Name:TOOMER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NE 3RD AVE APT 1321
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-4093
Mailing Address - Country:US
Mailing Address - Phone:954-817-1021
Mailing Address - Fax:
Practice Address - Street 1:400 NE 3RD AVE APT 1321
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-4093
Practice Address - Country:US
Practice Address - Phone:954-817-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8289235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist