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NPI Code Detail

MEDICARE: KAREN D PACKER CCC-SLP

MEDICARE:   KAREN D PACKER  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 Pathologist1439NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679690994
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN D PACKER CCC-SLP
Provider Business Mailing Address
First Line : 619 PENNTON AVE SW
Second Line :
City : LENOIR
State : NC
Zip : 28645-5743
Country : US
Telephone Number : 828-757-0209
Fax Number :
Provider Business Practice Location Address
First Line : 1906 DALLAS CHERRYVILLE HWY
Second Line :
City : DALLAS
State : NC
Zip : 28034-0899
Country : US
Telephone Number : 704-922-5259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Directions to “ KAREN D PACKER CCC-SLP” Practice Location

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