Provider Demographics
NPI:1629477047
Name:WHISENHUNT SAAR, KAREN I
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WHISENHUNT SAAR
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WHISENHUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 10076
Mailing Address - Street 2:LAMAR UNIVERSITY SPHS DEPT
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77710
Mailing Address - Country:US
Mailing Address - Phone:409-880-7499
Mailing Address - Fax:
Practice Address - Street 1:4400 MARTIN LUTHER KING BLVD
Practice Address - Street 2:LAMAR UNIVERSITY DEPARTMENT OF SPEECH & HEARING SCIENCE
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77710-0076
Practice Address - Country:US
Practice Address - Phone:409-880-7499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108628235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1488701OtherASHA CERTIFICATE OF CLINICAL COMPETENCE NUMBER
TX108628OtherTEXAS STATE BOARD SLP LISCENSE