Provider Demographics
NPI:1740446418
Name:CHASE, KARIN FULCHER (MA, CCC-SLP, CAPLT)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:FULCHER
Last Name:CHASE
Suffix:
Gender:F
Credentials:MA, CCC-SLP, CAPLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430363
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77243-0363
Mailing Address - Country:US
Mailing Address - Phone:832-594-9352
Mailing Address - Fax:713-468-0063
Practice Address - Street 1:2123 ROSEFIELD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-6438
Practice Address - Country:US
Practice Address - Phone:832-594-9352
Practice Address - Fax:713-468-0063
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14092235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist