Provider Demographics
NPI:1700019841
Name:CRANDON, KAREN H (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:H
Last Name:CRANDON
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15811 STABLE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7059
Mailing Address - Country:US
Mailing Address - Phone:281-516-0526
Mailing Address - Fax:281-516-0526
Practice Address - Street 1:15811 STABLE CREEK CIR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7059
Practice Address - Country:US
Practice Address - Phone:281-516-0526
Practice Address - Fax:281-516-0526
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08979225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist