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NPI Code Detail

MEDICARE: MRS. KAREN S. HORTON M.A. CCC-SLP

MEDICARE: MRS. KAREN S. HORTON M.A. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA 5645FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA 5645OTHERFLPROFESSIONAL LICENSE #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528089919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN S. HORTON M.A. CCC-SLP
Provider Business Mailing Address
First Line : 4077 N CHINOOK LN
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-9326
Country : US
Telephone Number : 386-446-9935
Fax Number : 386-405-3760
Provider Business Practice Location Address
First Line : 4 OFFICE PARK DR STE 4
Second Line :
City : PALM COAST
State : FL
Zip : 32137-3831
Country : US
Telephone Number : 386-446-9935
Fax Number : 386-446-7777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 12/15/2024

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