MEDICARE: MRS. KARA BETH PFISTER M.S. 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
1	235Z00000X	Speech-Language Pathologist	100919	TX

General Provider Information

NPI Number	:	1841207685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARA BETH PFISTER M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	5109 MALVERN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4935
Country	:	US
Telephone Number	:	214-274-9400
Fax Number	:	972-713-1312

Provider Business Practice Location Address
First Line	:	5109 MALVERN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4935
Country	:	US
Telephone Number	:	214-274-9400
Fax Number	:	972-713-1312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/08/2007

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Directions to “ MRS. KARA BETH PFISTER M.S. CCC-SLP” Practice Location

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