Provider Demographics
NPI:1457432114
Name:MEYER, KAREN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:KRUMREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1804 NE LOOP 410
Mailing Address - Street 2:#220
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5211
Mailing Address - Country:US
Mailing Address - Phone:210-829-5777
Mailing Address - Fax:210-829-5972
Practice Address - Street 1:1804 NE LOOP 410
Practice Address - Street 2:#220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5211
Practice Address - Country:US
Practice Address - Phone:210-829-5777
Practice Address - Fax:210-829-5972
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17003235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81S117OtherBCBSTX
TX189825595303OtherHUMANA
TX004743302Medicaid