Provider Demographics
NPI:1659745271
Name:PARKER, KAREN (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 OLD MAIN DRIVE
Mailing Address - Street 2:RESA 4
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651
Mailing Address - Country:US
Mailing Address - Phone:304-872-6440
Mailing Address - Fax:304-872-6442
Practice Address - Street 1:202 CHESTNUT STREET
Practice Address - Street 2:GREENBRIER COUNTY SCHOOLS
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901
Practice Address - Country:US
Practice Address - Phone:304-647-6470
Practice Address - Fax:304-647-6490
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0639235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist