Provider Demographics
NPI:1013723485
Name:DAVIS, KARSON ELAINE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARSON
Middle Name:ELAINE
Last Name:DAVIS
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 1:3523 DUNE CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28638-9202
Mailing Address - Country:US
Mailing Address - Phone:828-413-6916
Mailing Address - Fax:
Practice Address - Street 1:3523 DUNE CT
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-9202
Practice Address - Country:US
Practice Address - Phone:828-413-6916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist