MEDICARE: MS. KAREN SUE BOWEN 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	SA5589	FL

General Provider Information

NPI Number	:	1578549937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN SUE BOWEN CCC SLP

Provider Business Mailing Address
First Line	:	134 VIA FLORENZA
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6203
Country	:	US
Telephone Number	:	561-627-1003
Fax Number	:

Provider Business Practice Location Address
First Line	:	3066 JOG RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-2053
Country	:	US
Telephone Number	:	561-357-5883
Fax Number	:	561-357-5884

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	07/08/2007

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