Provider Demographics
NPI:1841512696
Name:VENABLE, KAREN BETH (SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:BETH
Last Name:VENABLE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908B CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2204
Mailing Address - Country:US
Mailing Address - Phone:615-327-3480
Mailing Address - Fax:615-327-0695
Practice Address - Street 1:313 COLLOREDO BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-2765
Practice Address - Country:US
Practice Address - Phone:931-488-1302
Practice Address - Fax:931-680-9855
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist