Provider Demographics
NPI:1821604497
Name:BROWN, KAREN E (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:E
Last Name:BROWN
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 1:903 VERNON DR
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-4724
Mailing Address - Country:US
Mailing Address - Phone:254-394-3926
Mailing Address - Fax:
Practice Address - Street 1:903 VERNON DR
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-4724
Practice Address - Country:US
Practice Address - Phone:254-394-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16864235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist