Provider Demographics
NPI:1669762308
Name:DAVIS, KAREN ELAINE (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELAINE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
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Mailing Address - Street 1:1605 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8056
Mailing Address - Country:US
Mailing Address - Phone:972-523-5267
Mailing Address - Fax:469-814-2569
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:469-814-2561
Practice Address - Fax:469-814-2569
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist